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Synapse 3D product specification

1. 34 62 Proprietary Information For Distribution within FUJIFILM Corporation and its Authorized Affiliates Distributors Partners and Customers Only Duplication or Distribution of this document without agreement from FUJIFILM Corporation is strictly prohibited FUJIFILM Corporation Synapse 3D US Product Specifications Z30N1138B Authorization of SOP Class for communication e SOP Class can be specified for communication authorization UID of the SOP Class can be input arbitrarily Setting of remote AE e MOVE SCP C STORE SCP C FIND SCP C STORE SCU and C FIND MOVE SCU can be set up separately Transfer syntax for acceptance can be selected from __ implicitVRLittleEndian explicitVRLittleEndian and losslessJPEG Priority can also be configured e Transfer syntax for proposal can be selected from implicitVRLittleEndian always proposed explicitVRLittleEndian and losslessJPEG Printer settings color print priority print media film output destination magnification type structure information smooth type edge density blank image density edging resolution width height length pixel e Character code settings Receive setting C FIND RQ C FIND RSP C STORE RQ and send setting C FIND RQ C FIND RSP C STORE RQ can be set up separately Log e Output level storage period maximum number of files and automatic log deletion time can be specified Setting of storage path
2. 40 62 Proprietary Information For Distribution within FUJIFILM Corporation and its Authorized Affiliates Distributors Partners and Customers Only Duplication or Distribution of this document without agreement from FUJIFILM Corporation is strictly prohibited FUJIFILM Corporation Synapse 3D US Product Specifications Z30N1138B Show MPR navigator Display small versions of axial coronal sagittal and orthogonal planes in the corner synchronized with the camera position e Automatic fly through Automatically detecting the lumen walls guide the camera through the center of the lumen just by turning the mouse wheel e Create path movie Can record a camera path that moves as directed by the mouse and create a movie that traverses the path Report Outputs observations and images to a report Macro e Records and plays based on user operation 4D Viewer Performs 4D play edit of multi phase images e g cardiac images e Cine play with synchronization between 2D cross sections and 3D images e Ability to specify display time for each phase in milliseconds or of the total play time e Creates movies of all images or only 3D images 3D Comparison Compares multiple series images in 2D and 3D display e 2D cross section cine play with synchronization among multiple series e 3D image synchronization among multiple series e VOI sphere measurement view comparison
3. Overlay display of a parameter image and original image Set vessel removal ratio Set ROI can also set symmetrical ROI Display time intensity curve ele le leoleolele 53 62 Proprietary Information For Distribution within FUJIFILM Corporation and its Authorized Affiliates Distributors Partners and Customers Only Duplication or Distribution of this document without agreement from FUJIFILM Corporation is strictly prohibited FUJIFILM Corporation Synapse 3D US Product Specifications Z30N1138B e Save graph in csv format Set delay correction with bSVD Set pseudo color in parameter image 8 4 Detailed functional specifications for Synapse 3D Lung and Abdomen Analysis option The following are the detailed functional specifications for Synapse 3D Lung and Abdomen Analysis option Lung Analysis CT Using CT images this plugin calculates volume of lung nodules and displays low attenuation areas e Semi automatic extraction of 5 lobes of the lung e Separates right and left lungs automatically Automatic extraction of lung field Automatic removal of airways e Outputs nodule list observation images to the report e Automatically extract contact surface between diaphragm and lungs Lung nodule e Semi automatic extraction of nodules by selecting position or contours e Displays the region around the nodule in the 2D cross
4. e Ability to specify primary storage and reserve storage Data can be automatically moved to reserve storage at specified time when usage of primary storage reaches a certain point or after a certain period of time Automatic deletion e Automatically deletes DICOM files in case of space shortage or after a specific period of time Recycling function Link with Synapse e Specifies whether to show data in Synapse in study list when Synapse is connected Auto sending e Ability to send capture and snapshot images Automatic retrieve Images that match certain criteria can be automatically retrieved from specified AE Data management Local data search e Search by patient ID patient name study date modality body part examined and comment Add comments to local data Adds comments to Study Series Preset search items for local data e Search conditions can be set up by user Display of DICOM header information of local data 35 62 Proprietary Information For Distribution within FUJIFILM Corporation and its Authorized Affiliates Distributors Partners and Customers Only Duplication or Distribution of this document without agreement from FUJIFILM Corporation is strictly prohibited FUJIFILM Corporation Synapse 3D US Product Specifications Z30N1138B Ability to show DICOM header information Local data protection e Protects the data from uninte
5. Automatic extraction of ventricular atrial and myocardial regions e Extraction of the pulmonary vein based on the left atrium region e ROl based extraction of the gullet region e 3D view inside the pulmonary vein e Virtual endoscopic view of inside the pulmonary vein Observation of display planes in a virtual endoscopic view e Output cine movies 8 3 Detailed functional specifications for Synapse 3D Brain Perfusion option The following are the detailed functional specifications for Synapse 3D Brain Perfusion option Brain perfusion CT CT cerebral perfusion analysis e Loads and analyzes single or multiple slice images e Automatic rigid registration of images of the same slice among different phases e Automatic detection or manual selection of the positions of arteries and veins e Plays cine of cross section images e Calculates CBV MTT CBF TTP images Superposes original image and parameter images 52 62 Proprietary Information For Distribution within FUJIFILM Corporation and its Authorized Affiliates Distributors Partners and Customers Only Duplication or Distribution of this document without agreement from FUJIFILM Corporation is strictly prohibited FUJIFILM Corporation Synapse 3D US Product Specifications Z30N1138B e Sets up removal rate of blood vessels e ROI setting symmetric ROI is available e Manage ROI templates e Displays
6. polygonal lines angles intensity values rectangles ellipses polygons freehand boxes spheres e Calculates volume of mask region and average max min standard deviation of intensity values in 3D images e Calculates volume of mask region and average max min standard deviation of intensity values in 2D images e Displays profile curve or histogram of each measurement e Semi automatic measurement of half width e Stores measurement results and graph in text file csv txt or in capture image e Ability to create ROI along the contour of an image by detecting contours during freehand measurement Annotation e Annotation by arrows points line cylinder text and balloons e Ability to set up font color background color and frame for text Ability to register key words e Ability to set up font color and background color for balloons Ability to register key words 38 62 Proprietary Information For Distribution within FUJIFILM Corporation and its Authorized Affiliates Distributors Partners and Customers Only Duplication or Distribution of this document without agreement from FUJIFILM Corporation is strictly prohibited FUJIFILM Corporation Synapse 3D US Product Specifications Z30N1138B 3D clipping e Specifies display range for X Y Z directions and specifies inside or outside clipping e Plane clip sight line clip sphere clip local observation clip e Centering Magnifies using
7. sunlight dust or the presence of salt sulfur or like substances in the air Make sure the equipment will remain stable on a level surface and not be subjected to vibration or shock Do not install the equipment in places where chemicals are stored or gases emitted Supply the frequency voltage and amperage specified for the computer Connect the ground wire correctly Connect all cables correctly and completely If the computer is installed in a dusty environment dust will accumulate in the power supply section possibly causing smoke or fire Install the equipment in a place free from such influence 3 4 5 6 7 8 YS Yi wa Fa BS Sw AWarning 2 If there is trouble with the computer do not attempt to fix it randomly Instead indicate the problem as appropriate and entrust repairs to a professional AWarning 3 The supply voltage to the computer is 100 240 V depending on the model and region Do not remove the cover or remodel the computer AWarning 4 Explosion Precautions Since this equipment is not explosion proof do not use combustible and explosive gases near the equipment A Caution 5 Electromagnetic Interference Precautions The computer used for the workstation complies with the Electromagnetic Compatibility EMC standard for general computers However there is no guarantee that interference will not occur in a particular installation If the computer is used in an environment such as in the vi
8. 6 OS Microsoft Windows Server 2012 R2 Microsoft Windows Server 2008 Standard Edition x64 Standard Edition SP2 x64 7 CPU 5 Intel Xeon processor E5 2630 v2 Quad core Intel Xeon processor 2 6GHz or greater 2CPUs or more 2 0GHz or greater 2 CPUs or more Main memory 64GB HDD SAS 10000rpm SATA 7200rpm For OS and software 80GB or greater For setting 100GB or greater For images depends on the image storage 2 Network adaptor 4 1000BASE T or faster 100BASE T USB 1 port 3 Graphic VRAM 1 0GB or more VRAM 512MB DirectX 11 is needed DirectX 11 is needed Monitor SXGA 1280 1024 or larger Single screen Client Recommended requirements Minimum requirements 6 OS Microsoft Windows 8 1 x64 Microsoft Windows 8 1 x86 Microsoft Windows 7 Professional x86 x64 SP1 Microsoft Windows Vista Business x86 x64 SP1 or later Microsoft Windows XP Professional x86 x64 SP2 or later CPU 5 Intel Core i5 4570 Intel Core2Duo CPU 3 2GHz or greater CPU 2 0GHz or greater Main memory 4GB or more 1GB HDD For OS and software 80GB or greater Network adaptor 4 1000BASE T or faster 100BASE T Graphic VRAM 512MB or more VRAM 512MB Monitor SXGA 1280 1024 UXGA 1600 1200 WUXGA 1920 1200 Single or dual screen 21 62 Proprietary Information For Distribution within FUJIFILM Corporation and its Authorized Affiliates Distributors Partners and Customers Only Duplication or Distribution of this document wit
9. 61 3 62 Proprietary Information For Distribution within FUJIFILM Corporation and its Authorized Affiliates Distributors Partners and Customers Only Duplication or Distribution of this document without agreement from FUJIFILM Corporation is strictly prohibited FUJIFILM Corporation Synapse 3D US Product Specifications Z30N1138B Note The name Synapse 3D is the system name of related products The Synapse 3D Base Tools product is the baseline product package of Synapse 3D This Product Specification is created specific for Synapse 3D Base Tools and other packages such as Cardiac Tools However throughout this specification the name Synapse 3D is used generally where product name needs to be referred except where the full product name Synapse 3D Base Tools or Synapse 3D Cardiac Tools is necessary Export Restrictions Applying to Synapse 3D For models to which export restrictions apply government approval obtained through due procedure is required in order to export or otherwise remove such models from Japan Note that the same restrictions apply not only to the main unit but also to after sale parts service manuals and service training for exporting or transferring technology when such items are dispatched or shipped to foreign countries and when service training is given for trainees from foreign countries Copyright and trademarks of FUJIFILM Corporation The Copyright c 1997 2014 of Synapse software
10. Load artery images corticomedullary images nephrographic images and excretory images at the same time e Manual and automatic rigid registration of each phase Semi automatic extraction of kidney e Extraction of cortex and medulla e Extraction of artery portal and bile duct e Extraction of tumor and calculus e Extraction of body surface and bone region e Extraction of arbitrary region Extraction of each region of kidney e Divides the kidney into multiple regions by either manual operation or automatic estimation of the blood vessels affected region e Displays volume of each divided region of the kidney e Displays volume of each divided region of the kidney after removing the surrounding organs such as blood vessels e Performs mask operator calculations reverse addition subtraction logical conjunction exclusive OR and swapping among divided regions Saves methods of dividing regions Observation of kidney e Displays an image plane inserted in the volume image in the 3D view e Surface smoothing is available in the 3D view e Displays kidney regions and blood vessel regions with surface rendering e Displays cut planes MPR cut plane in the 3D view e Simulates removal of tumor region e Displays cut planes of divided region e Utilizes Sector MPR in Kidney Analysis e Outputs information for each divided kidney to report 8 6 Detaile
11. and image transfer Q R can be performed with Q R compliant modalities and PACS and images created and captured on the product can be transferred to other DICOM servers 17 62 Proprietary Information For Distribution within FUJIFILM Corporation and its Authorized Affiliates Distributors Partners and Customers Only Duplication or Distribution of this document without agreement from FUJIFILM Corporation is strictly prohibited FUJIFILM Corporation Synapse 3D US Product Specifications Z30N1138B 2 Product configurations The product Synapse 3D Base Tools consists of the following two modules Synapse 3D Server or Synapse 3D Standalone for 3D image construction and analysis and Synapse 3D Client Standalone type is newly included from Synapse 3D V4 x There are two types of Synapse 3D client one is dedicated client software which can launch Synapse 3D directly another is Synapse integration client software which can launch Synapse 3D through Synapse integration The following configuration is a connection example among Synapse 3D Server or Synapse 3D Standalone image modalities Synapse Server image data server and Synapse 3D Client The number of Synapse 3D Servers varies according to the maximum number of concurrent connections In the case of multiple servers high performance is realized with a server cluster where one machine works as the master server and the others work as slave servers When the master serve
12. imaging software used with Synapse 3D Base Tools that is intended to provide trained medical professionals with tools to aid them in reading interpreting reporting and treatment planning Synapse 3D Brain Perfusion accepts DICOM compliant medical images acquired from CT and MR This product is not intended for use with or for the primary diagnostic interpretation of Mammography images Addition to Synapse 3D Base Tools Synapse 3D Brain Perfusion provides the parameter images by post processing with dynamic scanned CT cerebral arteriography images and magnetic resonance images MR with contrast agent to aid the assessment of cerebral blood flow The parameter images are Cerebral Blood Volume CBV Cerebral Blood Flow CBF Mean Transit Time MTT and Time To Peak TTP Indications for Use for Synapse 3D Lung and Abdomen Analysis Synapse 3D Lung and Abdomen Analysis is medical imaging software used with Synapse 3D Base Tools that is intended to provide trained medical professionals with tools to aid them in reading interpreting reporting and treatment planning Synapse 3D Lung and Abdomen Analysis accepts DICOM compliant medical images acquired from CT This product is not intended for use with or for the primary diagnostic interpretation of Mammography images Addition to Synapse 3D Base Tools Synapse 3D Lung and Abdomen Analysis is intended to e use non contrast and contrast enhanced computed tomographic images of the lung provide custom
13. report Observation using oblique three planes Display body surface and ribs for transapical approach Creates report based on measurement results in ST Junction Sinus of Valsalva Annulus and optional plane j o o o o jojojo o Flow Analysis MR Analyze blood flow velocity using single or multiple cross sectional multi phase images Display blood flow image Display original image phase image or absolute value image overlapped with the blood flow velocity image Display time intensity curve ROI measurement in a circle rectangle or freehand curve Measurement results can be output as CSV file e Display and edit time 4 chamber analysis Perform cardiac function analysis on the four chambers left ventricle right ventricle left atrium right atrium in CT Cine images of the heart Automatic extraction of heart with manual correction Automatic extraction of 4 chambers of heart with manual correction Automatic setting of long axis with manual correction 4D Cine play 4D movie creation Chamber list view 2 chamber 3 chamber 4 chamber aortic valve Specify apex and base for each phase or all phases and specify center position of each slice short axis image ele joojoo le e Auto detect contour of left ventricle and myocardium 51 62 Proprietary Information For Distribution within FUJIFILM Corporatio
14. resolution width height length pixel Print to Windows printers e Settings specified at time of print page range and number of copies Print preview e Ability to print in additional arbitrary layouts by using a settings file e Manages print queue of DICOM printers display of data transfer status cancellation of print requests e Image adjustment from preview by WL magnification 36 62 Proprietary Information For Distribution within FUJIFILM Corporation and its Authorized Affiliates Distributors Partners and Customers Only Duplication or Distribution of this document without agreement from FUJIFILM Corporation is strictly prohibited FUJIFILM Corporation Synapse 3D US Product Specifications Z30N1138B e Sets up ON OFF of scale bar and cube Sets up ON OFF of image border e Inserts scan lines on reference image e Inserts arbitrary image into footer Adds left margin to create space for punch holes for filing e Edits preview image Common functions to all applications 2D cross section display e Axial coronal sagittal cross section views Oblique cross section view at an arbitrary point CPR display Straightened CPR Stretched CPR e Projected CPR display e Multi path CPR display Automatic manual extraction of path e Automatic manual extraction of path diameter e Displays of graphs of average diameter p
15. stenosis percentage e Virtual stent grafting e Runs Cardiac Fusion using the nuclear medicine images e Saves orthogonal cross section paging CPR rotation and CPR translation as a movie a DICOM image or multiple capture images e Displays orthogonal cross sections with option of applying smoothing or edge enhancement filter e Related XA Observation Simultaneously displays 3D image and XA images of the same patient with the same orientation e Slice view axial view MPR view oblique view cross section view simple view layout horizontal view layout stretched CPR layout customized layout e CPR observation Displays two stretched CPR views side by side and rotates them in sync while maintaining a 90 degree angle between them e Creates reports Displays CPRs of coronary arteries e Creates magnified views of a selected area in the straightened CPR view and stretched CPR view e Displays graph of average diameter projected length of radius area and average signal value together with the straightened CPR view e Graph view can be toggled e Displays a list of cross sections that are orthogonal to given point in the blood vessel e Displays stretched CPR and 3D views side by side with the same orientation e Displays enlarged stretched CPRs in relation to the position of orthogonal cross sections e Synthesizes and displays stretched CPRs of all branches of either left coronary artery or righ
16. time intensity curve e Stores graphs in csv format Sets up whether to perform delay correction by bSVD e Sets up pseudo color of parameter image Set how to obtain time information Brain Perfusion MR MR cerebral perfusion analysis e Loads and analyzes single or multiple slice images e Automatic rigid registration of images of the same slice among different phases e Automatic detection or manual selection of the positions of arteries and veins e Plays cine of cross section images e Calculates CBV MTT CBF TTP images e Superposes original image and parameter images e Sets up removal rate of blood vessels e ROI setting symmetric ROI is available e Manage ROI templates e Displays time intensity curve Stores graphs in csv format Sets up whether to perform delay correction by bSVD e Sets up pseudo color of parameter image e Displays result image overlapped with ADC Map by reading Diffusion image with or without MPG together e Displays other image T2W and FLAIR et al overlapped with ADC Map by reading other image together Set how to obtain time information 4D Perfusion Perfusion analysis of 3D CTs of the head Load and analyze three dimensional images Automatically detect positions of arteries and veins or set them manually Can perform Cine playing of slice images or 3D images Calculate CBV MTT CBF TTP images
17. used by trained medical professionals in reading interpreting reporting screening and treatment planning 8 62 Proprietary Information For Distribution within FUJIFILM Corporation and its Authorized Affiliates Distributors Partners and Customers Only Duplication or Distribution of this document without agreement from FUJIFILM Corporation is strictly prohibited FUJIFILM Corporation Synapse 3D US Product Specifications Z30N1138B Addition to the general 2D and 3D image processing and measurement tools available in Synapse 3D Base Tools Synapse 3D Tensor Analysis provides custom workflows UI and reporting functions for tensor analysis with neck and head MR images It includes display of diffusion and FA color map images white matter tractography dynamic review in MR vessel and body visualization with registration of MR CT XA PET and NM Contraindications None known 9 62 Proprietary Information For Distribution within FUJIFILM Corporation and its Authorized Affiliates Distributors Partners and Customers Only Duplication or Distribution of this document without agreement from FUJIFILM Corporation is strictly prohibited FUJIFILM Corporation Synapse 3D US Product Specifications Z30N1138B For Safe Operation In this document there are three types of explanatory notes as indicated by the marks shown below with their respective meanings Observe these warnings and cautions when using Synapse 3D Indicates an instr
18. views When structure image is different from function image fusion is available to display a superimposed image e Registration e Creates reports Displays bull s eye Transforms bull s eye plots for display according to the length of the coronary arteries e Inverse display of bull s eye e Changes the range of colors by specifying the upper limit and the lower limit e Displays Topographic map Aortic Valve Analysis Using single or multiple phase cardiac CT images measure an aortic valve 50 62 Proprietary Information For Distribution within FUJIFILM Corporation and its Authorized Affiliates Distributors Partners and Customers Only Duplication or Distribution of this document without agreement from FUJIFILM Corporation is strictly prohibited FUJIFILM Corporation Synapse 3D US Product Specifications Z30N1138B e Cine play synchronized with 2D slice images and 3D images Can change specification of display time for each phase to be shown in milliseconds or as a percentage of overall playback time Create a 4D movie of the entire display image or of the 3D view only Automatically extract heart Measurement near aortic valve function Plaque measurement color coded display of CT values Virtual valve placement Plaque measurement of internal virtual valve only Insert image planes Output various measurement values analysis values and images to
19. which is intended to evaluate the functional characteristics of heart e Coronary artery analysis for CT coronary arteriography images which is intended for the qualitative and quantitative analysis of coronary arteries 6 62 Proprietary Information For Distribution within FUJIFILM Corporation and its Authorized Affiliates Distributors Partners and Customers Only Duplication or Distribution of this document without agreement from FUJIFILM Corporation is strictly prohibited FUJIFILM Corporation Synapse 3D US Product Specifications Z30N1138B e Coronary artery analysis for MR heart images which is intended for the qualitative and quantitative analysis of coronary arteries e Calcium scoring for non contrast CT heart images which is intended for non invasive identification and quantification of calcified atherosclerotic plaques in the coronary arteries using tomographic medical image data and clinically accepted calcium scoring algorithms e Cardiac Fusion which is intended to analyze cardiac anatomy and pathology with a fused image of functional data e g NM image Bulls eye and anatomical data e Aortic Valve Analysis for contrast CT heart images which is intended for visualization of the heart aorta regions and contour of the aorta measurement of the vicinity of the aortic valve measurement of the calcification area in the aorta Indications for Use for Synapse 3D Brain Perfusion Synapse 3D Brain Perfusion is medical
20. workflows and UI and reporting functions for lung analysis including boundary detection and volume calculation for pulmonary nodules in the lung based on the location specified by the user segmentation of bronchial tubes in the lung approximation of air supply region by the user specified bronchial tube identifying displaying and processing low absorption regions in the lung e use non contrast CT images and calculate subcutaneous fat and visceral fat areas in 2D and both volumes in 3D e analyze a bronchus path to reach a lung nodule using the volume data collected with CT and simulate insertion of bronchoscope into the path 7 62 Proprietary Information For Distribution within FUJIFILM Corporation and its Authorized Affiliates Distributors Partners and Customers Only Duplication or Distribution of this document without agreement from FUJIFILM Corporation is strictly prohibited FUJIFILM Corporation Synapse 3D US Product Specifications Z30N1138B Indications for Use for Synapse 3D Liver and Kidney Analysis Synapse 3D Liver and Kidney Analysis is medical imaging software used with Synapse 3D Base Tools that is intended to provide trained medical imaging professionals including Physicians and Radiologists with tools to aid them in reading interpreting reporting and treatment planning Synapse 3D Liver and Kidney Analysis accepts DICOM compliant medical images This product is not intended for use with or for the primary diagno
21. 3D Fat Analysis CT Using abdominal 3D CT image calculates volume and percentage of visceral fat and subcutaneous fat e Lung Analysis CT Using CT image calculates volume of lung nodules and displays low attenuation areas Lung Analysis Scope CT Extracts the bronchus from CT chest images and find the shortest path to the tumor Lung Analysis Resection CT Using contrast enhanced CT images extract the lung bronchus PA and PV and display the results in 3D 5 5 Function specifications summary for Synapse 3D Liver and Kidney Analysis option The following is the function specifications summary for Synapse 3D Liver and Kidney Analysis option Image application e Liver Analysis CT Using contrast CT image extracts liver and blood vessel regions and displays results in 3D e Liver Analysis MR Viewer and analysis dedicated to captured images using an EOB contrast agent 26 62 Proprietary Information For Distribution within FUJIFILM Corporation and its Authorized Affiliates Distributors Partners and Customers Only Duplication or Distribution of this document without agreement from FUJIFILM Corporation is strictly prohibited FUJIFILM Corporation Synapse 3D US Product Specifications Z30N1138B Kidney Analysis CT Using contrast enhanced CT images of the kidney extract the kidney and each vessel area and display the results in 3D 5 6 Function specifications summary for Sy
22. 3D Nodule Analysis option e Synapse 3D Colon Analysis option e Synapse 3D Tensor Analysis option e License manager application e Service manual e User manual e Product specifications e Upgrade kit License key License key is NOT included in following product package configurations Intended to be used for upgrades where dongles already exist Installation CD e Synapse 3D Base Tools software and related software e Synapse 3D Cardiac Tools option e Synapse 3D Brain Perfusion option e Synapse 3D Lung and Abdomen Analysis option e Synapse 3D Liver and Kidney Analysis option e Synapse 3D Nodule Analysis option e Synapse 3D Colon Analysis option e Synapse 3D Tensor Analysis option e License manager application e Service manual e User manual e Product specifications e Upgrade kit 20 62 Proprietary Information For Distribution within FUJIFILM Corporation and its Authorized Affiliates Distributors Partners and Customers Only Duplication or Distribution of this document without agreement from FUJIFILM Corporation is strictly prohibited FUJIFILM Corporation Synapse 3D US Product Specifications Z30N1138B 4 Requirements The following are the off the shelf software and hardware requirements used for Synapse 3D Base Tools Server 1 Recommended requirements Minimum requirements
23. 8B s Note Since the backlight fluorescent tube of the LCD monitor has a limited lifetime the luminance emitted light amount of the screen decreases as running time increases and it may eventually make viewing difficult Check that the emitted light amount of the LCD backlight is appropriate before starting operation If not contact your service engineer 9 ACaution When using a monitor or a LCD monitor a White or black spots may appear on the LCD monitor This is part of the normal wear and tear of an LCD and itis not a failure of the LCD monitor These spots caused by LCD characteristics appear in the fixed place at any time Recognize their existence to prevent misinterpreting them as possible medical abnormalities b When the display resolution is too low it may make viewing difficult Make sure the settings are appropriate for use c When the luminance or contrast of the screen is set excessively high or low it may make viewing difficult Make sure the settings are appropriate for use d A color image may not be displayed with the correct gradation grayscale when viewed on a grayscale monitor Use a monitor that is appropriate for handling the images e When interpreting an image on the monitor be aware of the purpose and differences in the image on the film Image interpretation should be performed at responsibility of the user For image interpretation via the monitor use high definition and high quality monito
24. Display time intensity curve 3D display of map image jo j o o 8 2 Detailed functional specifications for Synapse 3D Cardiac Tools option The following are the detailed functional specifications for Synapse 3D Cardiac Tools option Coronary Artery Analysis CT Coronary artery analysis of cardiac CT images e Cross section observation set simple path display SlabMIP of any slice thickness display plaque overlay The phase to be analyzed can be selected from among multiple phases e Automatically or manually extracts the heart region Set center axis of left ventricle e Extracts coronary artery by either a classifying method or a tracking method e Auto labeling of major arteries e Extracts bypass blood vessels e Edits central lines and contours e Displays coronary arteries in each of the following views VR SMIP angiography left right left and right Aorta segmentation result can be toggled 46 62 Proprietary Information For Distribution within FUJIFILM Corporation and its Authorized Affiliates Distributors Partners and Customers Only Duplication or Distribution of this document without agreement from FUJIFILM Corporation is strictly prohibited FUJIFILM Corporation Synapse 3D US Product Specifications Z30N1138B e Measures stenosis percentage e Plaque measurement Color classified view of CT values in the plaque area of the coronary arte
25. EAEE AEAN AEE AE EAN 17 Product eono uran Ons aiaa n a a a AA LEE N a AA Sg ORE a a ai 18 Product package Configurations ssarecsrerinrnisier ririmerii eiiie kinai e r iii iiei kinai e rinia 20 Reguirementsrosni acct anie TN T n E E A ai E ra e ee in ei a At 21 Function specifications sAm Ma a a a E EA A R A A 24 5 1 Function specifications summary for Synapse 3D Base Tools ccccccccssssccceccesessssceeccesessssceeceeseneas 24 5 2 Function specifications summary for Synapse 3D Cardiac Tools option ccccecesessesssessesseeseees 25 5 3 Function specifications summary for Synapse 3D Brain Perfusion option cccccessessesseeseeeeeee 26 5 4 Function specifications summary for Synapse 3D Lung and Abdomen Analysis option 26 5 5 Function specifications summary for Synapse 3D Liver and Kidney Analysis option 060 26 5 6 Function specifications summary for Synapse 3D Nodule Analysis option c cccccsceseessesseeseeseees 27 5 7 Function specifications summary for Synapse 3D Colon Analysis option cccccceseeessessesseeseeee 27 5 8 Function specifications summary for Synapse 3D Tensor Analysis option cccccccceseessessesseeseeee 27 System restrictionSssi erae Seles Ravioli ee A a ae ei ee AS 28 6 2 Spec requirements for generit PCS cccccccccscssscceccecessseccecceecsssscceccesessnseeeceeeeesssseeeccesesssseeeceesenttseeeeeeees 30 6 3 Operational limitations on t
26. Lung Analysis Scope CT Using CT images find optimal bronchus path leading to lung nodule Automatically extract lung region e Automatically extract airway region Output observations and images to a report Extraction of lung nodules and optimal path Specify diameter of lung nodules and perform semi automatic extraction Extract optimal path leading to lung nodule Save optimal path list as a capture or file Add and remove paths CPR display of optimal path Set lymph nodes present in vicinity of path Checking optimal path Endoscopic view of optimal path Can record any position on optimal path Create movie of endoscope advancing through optimal path Sheer display of endoscopic image Automatically update opacity of endoscopic image based on progress of endoscope o jo j o 8 5 Detailed functional specifications for Synapse 3D Liver and Kidney Analysis option The following are the detailed functional specifications for Synapse 3D Liver and Kidney Analysis option 57 62 Proprietary Information For Distribution within FUJIFILM Corporation and its Authorized Affiliates Distributors Partners and Customers Only Duplication or Distribution of this document without agreement from FUJIFILM Corporation is strictly prohibited FUJIFILM Corporation Synapse 3D US Product Specifications Z30N1138B Liver Analysis CT Using contr
27. P2 or later 32 bit 64 bit CPU Pentium 4 or higher Web browser Internet Explorer 7 0 or later Memory 1GB or more Monitor resolution 1024 x 768 No special requirements beyond these are specified Nonetheless the PC configuration may not work in some cases The recommended specifications for a general purpose PC are listed below Even if the PC meets these requirements it might not work due to hardware specific issues compatibility with other software etc Recommended specifications for a generic PC Component Contents OS Windows 8 32 bit 64 bit CPU Dual core CPU Web browser Internet Explorer 9 0 or later Memory 2GB or more Monitor resolution 1920 x 1200 1920 x 1080 1600 x 1200 1280 x 1024 No special requirements beyond these are specified Nonetheless the PC configuration may not work in some cases If these requirements are met by existing PCs in the medical facilities they can be used after the following checks are performed Confirmation of the above specifications Actual operational verification Note that a separate license must be purchased in order to install the software on a PC in the facilities 30 62 Proprietary Information For Distribution within FUJIFILM Corporation and its Authorized Affiliates Distributors Partners and Customers Only Duplication or Distribution of this document without agreement from FUJIFILM Corporation is strict
28. Synapse 3D US Product Specifications Z30N1138B FUJIFILM Synapse 3D V4 1US Base Tools Cardiac Tools option Brain Perfusion option Lung and Abdomen Analysis option Liver and Kidney Analysis option Nodule Analysis option Colon Analysis option Tensor Analysis option Product Specifications September 2014 Contact Information United States of America FUJIFILM MEDICAL SYSTEMS U S A Inc 419 West Avenue Stamford CT 06902 U S A Manufacturer FUJIFILM Corporation 26 30 Nishiazabu 2 Chome Minato ku Tokyo 106 8620 Japan Proprietary Information For Distribution within FUJIFILM Corporation and its Authorized Affiliates Distributors Partners and Customers Only Duplication or Distribution of this document without agreement from FUJIFILM Corporation is strictly prohibited FUJIFILM Corporation Synapse 3D US Product Specifications Z30N1138B Revision History Date Comment March 25 2014 First version July 16 2014 Second edition September 29 2014 Third edition 2 62 Proprietary Information For Distribution within FUJIFILM Corporation and its Authorized Affiliates Distributors Partners and Customers Only Duplication or Distribution of this document without agreement from FUJIFILM Corporation is strictly prohibited FUJIFILM Corporation or WN on Synapse 3D US Product Specifications Z30N1138B Table of Contents Produc OVET EN an e e aE EA Eaa NEE A
29. User customizable settings Stores settings for each Synapse 3D login user account Online help Displays a help file corresponding to the current operations and key word search e Print Prints to DICOM and Windows printers Image processing and display function e 3D display display in VR SSD MIP MinIP Ray summation CPR e VR color template Changes rendering parameters provides live template e Changing window width and window level Sets up window width level gamma edge enhancement and smoothing e Measurement Measures distance angle area volume and profile displays histogram and stores measurement results e Annotation Annotate by arrows dots text and balloons 3D clipping Clipping the range being displayed in the format of cross section sight line and sphere e Mask editing Smart cut smart select smart tracking organs extraction preset register and edit e Multi mask Stores mask information for up to 12 layers Perform ADD AND etc operations between masks e Reformat Reformats by line sector and circle e SUV evaluation Displays SUV of the inside of sphere VOI on PET images 24 62 Proprietary Information For Distribution within FUJIFILM Corporation and its Authorized Affiliates Distributors Partners and Customers Only Duplication or Distribution of this document without agreement from FUJIFILM Corporation is strictly prohibited FUJIFILM Corporation Synapse 3D US Product Speci
30. a When disposing of the computer make sure to erase patient information that may be recorded in the magnetic disk HDD before disposal b Installing the monitor in a place where strong light is emitted may prevent correct viewing because the display is either directly exposed to the light or reflects the light Install the equipment in a place free from such influence c Using the computer in a place where a strong magnetic field is present may cause the displayed image to be distorted Install the equipment in a place free from such influence d A plasma monitor constitutively emits a small amount of infrared radiation from the panel surface Therefore any equipment operating near the monitor that uses infrared rays may be affected When installing a plasma monitor check that it does not affect neighboring devices If the monitor interferes with devices nearby change the orientation of their transmitting receiving section to prevent the interference 45 A Caution When an error occurs a If the workstation malfunctions take action by following the messages displayed on the screen b If an error occurs in the workstation turn off the power indicate that the equipment is faulty by posting a notice or other means and then contact your service engineer 16 62 Proprietary Information For Distribution within FUJIFILM Corporation and its Authorized Affiliates Distributors Partners and Customers Only Duplication or Distribution o
31. able e Displays a sector shaped cross section MPR image based on specified position and orientation e Reversible display of gray scale images e Applies specified image processing and displays pseudo shadow behind the region that has signal value outside the threshold e Positional link of sector or rectangular MPR image to 2D cross section e Displaying an overlay of the cross section image of sector or rectangular MPR onto the 3D view The target display can be selected from skin surface heart and liver While the overlay image display can be selected from skin surface heart liver and bone e Enables changes in the range of the slab thickness in the sector or rectangular MPR view e Provides a choice of view plane types sector or rectangle e Measurement of angle and distance between the puncture position and the target point in centesis mode General CPR Extract vessel path and observe and analyze vessels by CPR e Display straightened CPR Display stretched CPR Display projected CPR Display multi path CPR Automatic path search and manual settings Semi automatic path search and manual settings Display graph of mean diameter projection diameter area and mean intensity on the path Specify one or more normal diameters and measure stenosis rate of vessels etc Color mapping analysis by assigning colors to signal values of up to 6 levels on the vessel SMIP dis
32. ablet devices cceceecceeseeessessensessscaeeaeeeeeeeeeeeeeceeeceeceseeeseeseeeesesseasessaeaaeeas 31 6 3 1 Snapshots that can be observed on a tablet device ccccccessssccsscceeceeeeceeceecceeccecceseeeeeseesentesttssseaaeeas 31 6 4 Operational limitations of offline VR uu cccccsccccccescsssscceccecessnsceeccesessnsceeccesessseeeceesessnseeeceesestneeeeceeees 31 Opar denn saronno cele tus ce ates eo een a ted oras a uate dented a a aahtecsnt dtatiaesad mantels 32 Function specifications detailen erie a a N O E E 34 8 1 Detailed functional specifications for Synapse 3D Base Tools ccccccsssccccccesessssceeceeeesstsceeecesenans 34 8 2 Detailed functional specifications for Synapse 3D Cardiac Tools option cccccccescescescessessesseeseees 46 8 3 Detailed functional specifications for Synapse 3D Brain Perfusion option cccceceeessesseeseeseees 52 8 4 Detailed functional specifications for Synapse 3D Lung and Abdomen Analysis option 54 8 5 Detailed functional specifications for Synapse 3D Liver and Kidney Analysis option 006 57 8 6 Detailed functional specifications for Synapse 3D Nodule Analysis option cccccceccessesseeseeseeee 59 8 7 Detailed functional specifications for Synapse 3D Colon Analysis option cccccecccssesssesseeseeseees 60 8 8 Detailed functional specifications for Synapse 3D Tensor Analysis option c cccecsseessesseeseeseeee
33. al features to emphasize anatomy of interest Users must take into account any actions and software behaviors of this type when interpreting displayed images 12 62 Proprietary Information For Distribution within FUJIFILM Corporation and its Authorized Affiliates Distributors Partners and Customers Only Duplication or Distribution of this document without agreement from FUJIFILM Corporation is strictly prohibited FUJIFILM Corporation Synapse 3D US Product Specifications Z30N1138B 5 ACaution When installing servicing and administrating Synapse 3D a Set and install medical imaging equipment connected to the workstation properly using the installation specifications If not some errors may occur b The installation upgrade system maintenance system administration and administration shall only be performed by trained personnel c Training materials must be created or updated using the correct version of service manual user manual or other formal documents released as a part of the Synapse 3D product s Note While operating Synapse 3D a Check the workstation before use to make sure that it operates normally b In extended use of the workstation take a 10 to 15 minute break after every hour to rest your eyes and hands c Do not turn off the power to the computer while using the workstation d Perform the shutdown procedure specified in the operating system to end operation e Do not change settings of th
34. alculation of the specified region volume of the psoas major Lung Analysis Scope CT Using CT images find optimal bronchus path leading to lung nodule e Automatically extract lung region e Automatically extract airway region Output observations and images to a report Extraction of lung nodules and optimal path e Specify diameter of lung nodules and perform semi automatic extraction Extract optimal path leading to lung nodule Save optimal path list as a capture or file Add and remove paths CPR display of optimal path Set lymph nodes present in vicinity of path Checking optimal path o o e Endoscopic view of optimal path Can record any position on optimal path Create movie of endoscope advancing through optimal path Sheer display of endoscopic image Automatically update opacity of endoscopic image based on progress of endoscope ele lele Lung Analysis Resection CT Using CT images extract lung bronchus tumor and pulmonary vessels and simulate lung resection Extract the 5 lobes semi automatically Automatically separate left and right lungs Automatically extract lung region Automatically remove airway region Automatically extract contact surface between diaphragm and lungs Output nodule list observations and images to a report Extraction of tumor ele o jo o e Specify the contour or the position
35. and diameter of tumor and perform semi automatic extraction Local or overall view of 2D slice or 3D image near tumor e For each tumor list its volume maximum CT value minimum CT value mean CT value and standard deviation e Histograms of each tumor Save tumor list and histogram as a capture or file Extraction of PV PA and bronchus 56 62 Proprietary Information For Distribution within FUJIFILM Corporation and its Authorized Affiliates Distributors Partners and Customers Only Duplication or Distribution of this document without agreement from FUJIFILM Corporation is strictly prohibited FUJIFILM Corporation Synapse 3D US Product Specifications Z30N1138B Specify center of PV PA Semi automatically extract pulmonary vessels Add and remove portions while extracting PV PA and bronchus Replace extracted PA and PV Show hide the extracted path Save study list as a capture or file e Automatically extract bone and body surface regions Division of the lung region ele jo jo o o Extract lung field region occupied by specified sub tree of PV PA and bronchus Arbitrary division of lung region Edit occupied region and its border Surface rendering of region Insert image plane into 3D display Cut plane display paste slice MPR in 3D image Measure distance between tumor and plane Can record division method ele gt joojoo o
36. ast CT images this plugin performs liver extraction and extraction of individual blood vessel regions It displays the extraction results in the 3D view e Loads artery images portal images and equilibrium images at the same time e Manual and automatic rigid registration of each phase e Automatic non rigid registration e Automatic extraction of liver e Extraction of inferior vena cava by setting ROI in multiple slices e Extraction of artery portal vein and bile duct e Extraction of high density and low density tumors e Extraction of body surface bone region and gallbladder e Extraction of arbitrary region e Displays the length of the segment specified in extracted blood vessels Extraction of each region of the liver e Divides the liver into multiple regions by either manual operation or automatic estimation of the blood vessels affected regions e Displays volume of each divided region of the liver Displays volume of each divided region of the liver after removing the surrounding organs such as blood vessels e Performs mask operator calculations reverse addition subtraction logical conjunction exclusive OR and swapping among divided regions Saves methods of dividing regions Liver observation e Displays an image plane inserted in the volume image in the 3D view e Surface smoothing is available in the 3D view e Displays liver regions and blood vessel regi
37. ations of the coronary arteries and calculates Agatston score e Cardiac Fusion Displays fusion image between cardiac structure image and cardiac function image e Aortic Valve Analysis Using single or multiple phase cardiac CT images measure an aortic valve e MR Flow Analysis Calculates the blood flow volume and the flow velocity per heart rate velocity of an arranged ROI e 4 Chamber Analysis Evaluates cardiac function in the four chambers using a single cardiac CT image or multiple phase images e Cardiac Ablation Analysis Pre operation simulation for ablation and post operation observation 5 3 Function specifications summary for Synapse 3D Brain Perfusion option The following is the function specifications summary for Synapse 3D Brain Perfusion option Image application Brain Perfusion CT Using cerebral CT image displays cerebral bloodstream parameter images and measures ROI e Brain Perfusion MR Using cerebral MR image displays cerebral bloodstream parameter images and measures ROI e 4D Perfusion Using multi phase 3D whole brain CT images analyzes cerebral blood flow over time in 4D 5 4 Function specifications summary for Synapse 3D Lung and Abdomen Analysis option The following is the function specifications summary for Synapse 3D Lung and Abdomen Analysis option Image application e 2D Fat Analysis CT Calculates percentage of visceral fat and subcutaneous fat e
38. belongs to FUJIFILM MEDICAL SYSTEMS U S A Inc and FUJIFILM Corporation The Copyright c 2010 2014 of Synapse 3D software belongs to FUJIFILM Corporation This computer program is protected by copyright law and international treaties Unauthorized reproduction or distribution of this program or any portion of it is strictly prohibited Synapse is a registered trademark of FUJIFILM Medical Systems U S A Inc and FUJIFILM Corporation Other holders trademarks Microsoft Windows Windows Vista 7 and 8 etc are the registered trademarks of Microsoft Corporation in the U S A and other countries All other company names and product names described in this manual are the trademarks or registered trademarks of their respective holders Precautions 1 Unauthorized transfer or duplication of all or any part of the contents of this Product Specification is strictly prohibited The contents of this Product Specification are subject to change without prior notice FUJIFILM Corporation accepts no liability whatsoever with regard to faults or damage arising from installation relocation modifications maintenance or repairs performed by anyone other than FUJIFILM Corporation or a contractor approved by FUJIFILM Corporation 4 FUJIFILM Corporation accepts no liability whatsoever with regard to faulty functioning of or damage to this product caused by third party products other than those supplied by FUJIFILM Corporation 5 FUJIFILM Corp
39. bited FUJIFILM Corporation Synapse 3D US Product Specifications Z30N1138B e Displays live color templates Thumbnail images of the current 3D image after applying registered templates e Export and import color templates Share color templates among users Changing window width and level e Applies to MIP MinIP Ray summation of 2D and 3D views e Gamma conversion e 2D cross section view with smoothing filter or edge enhancement filter applied e Pseudo color settings such as normal display reverse display and individual pseudo colors can be specified e Preset registration and recall of window width window level and pseudo color Shared presets among users Movie creation e Creates movies by paging 2D cross sections in specified range e Creates 3D movies by registering key frames based on changing parameters e g orientation magnification rate clipping color template Key frames can be registered one by one or automatically registered when a parameter changes Selectable presets can be created Registers key frames as a preset e Offline VR can generate files that enable simple VR operations on any device using a Web browser e Converts created movies to private DICOM data and stores them Can transfers them to other servers 3D filtering Removes noise with a low pass filter and smoothly displays images in 3D Measurement e Measures lines projected line
40. cinity of devices not compliant with the EMC standard interference may occur and cause the computer or other devices to malfunction A Caution 6 Product media storage Precautions Product media disc of Synapse 3D must be stored into media case The media should not be stored at a high temperature high humidity or direct exposure to the sunlight place 11 62 Proprietary Information For Distribution within FUJIFILM Corporation and its Authorized Affiliates Distributors Partners and Customers Only Duplication or Distribution of this document without agreement from FUJIFILM Corporation is strictly prohibited FUJIFILM Corporation Synapse 3D US Product Specifications Z30N1138B 3 Precautions Synapse 3D Workstation usage 1 A Caution Synapse 3D is intended for use only as a supplement to traditional methods for interpreting radiological images Synapse 3D is only an aid or adjunct to processes or decisions that can be made without the use of Synapse 3D No diagnostic or treatment decisions or other decisions that may affect patient care should be based exclusively on Synapse 3D gt A Caution For exported images For images exported from Synapse 3D using e mail printing or any other mechanism users must ensure that recipients of exported images are familiar with this material The precise appearance of the image is dependent on the characteristics and settings of the hardware including monitors used The notes and cautio
41. ctions In case of multiple servers configuration the number of slave servers can be expanded to three units The number of servers and the maximum number of concurrent connections are as follows Number of Maximum number of servers concurrent connections 1 unit 8 2 units 16 3 units 24 4 units 32 Clients exceeding the maximum number of concurrent connections can not connect to the server concurrently For example in case of 2 servers and 16 maximum concurrent connections if there are 32 Synapse 3D clients in total the connection possibility is 50 Each Synapse 3D Client can handle over 10000 slices assuming standard CT slice resolution 512 512 The limit depends on the physical memory Capacity Number of The number of user accounts on the server is restricted to fewer than 500 accounts However on the condition that tracing of the workstation log level is turned off the limit is fewer than 2000 accounts Furthermore by changing the DICOM data storage location to NAS and then changing the storage location user settings the limit becomes fewer than 1000 accounts It is not possible to set up accounts for more than 10 000 people Tablet client To use a tablet client a wireless network connection is needed connections Tablet client license The user must have a license to use a tablet client Purchase of a user client access license is required for the user who will use the tablet
42. d FUJIFILM Corporation Synapse 3D US Product Specifications Z30N1138B e Can capture the histogram and the volume list of each region or save them to a file Cluster analysis e Classifies low attenuation areas by clustering e Clustering analysis based on 2D connection components e Clustering analysis based on 3D connection components e Overlays colors according to cluster size onto lung region on 2D cross sections e Displays spheres according to cluster size onto 3D image e Displays log log graph made by horizontal axis corresponding to the volume and vertical axis corresponding to the number e Displays regression line for log log graph Compare to analysis results of past studies e Comparison of tumor over time e Comparison of airway analysis over time e Comparison of low attenuation area over time e Comparison of cluster analysis over time 2D Fat Analysis CT Measurement of visceral and subcutaneous fat area by using a single abdomen CT image e Automatic detection of subcutaneous fat and visceral fat e Automatic recognition of umbilicus position on loading images e Manual correction to the result of automatic detection of subcutaneous fat and visceral fat e Calculation of the area of subcutaneous fat and visceral fat e Calculation of circumference of body surface e Calculation of BMI e Output to reports Total area of fat area of subcutaneous fat area of visceral fat abdominal
43. d based on setting of contours of ventricle and myocardium on one or more slices in the short axis view e Results display End diastolic volume EDV endsystolic volume ESV end diastolic volume index EDVI endsystolic volume infarction ESVI stroke volume SV cardiac output CO cardiac infraction Cl peak filling rate PFR time to peak filling TPF ejection fraction EF body surface area myocardium weight e Display of bull s eye plots Ventricular internal radius region ejection fraction wall thickness amount of change in wall thickness increase rate of wall thickness momentum of wall motion etc e Displays ventricular volume curve e Displays overlay of the mapping image of each bull s eye onto the ventricular contour for surface 49 62 Proprietary Information For Distribution within FUJIFILM Corporation and its Authorized Affiliates Distributors Partners and Customers Only Duplication or Distribution of this document without agreement from FUJIFILM Corporation is strictly prohibited FUJIFILM Corporation Synapse 3D US Product Specifications Z30N1138B rendering e Displays myocardial region e Can specify how to handle papillary muscle volume in ventricle or in myocardium e Outputs analytical values bull s eye plots ventricular volume curve observations and images to a report e Calls Cardiac Fusion to overlay the Cardiac Function analysis results onto
44. d functional specifications for Synapse 3D Nodule Analysis option The following are the detailed functional specifications for Synapse 3D Nodule Analysis option 59 62 Proprietary Information For Distribution within FUJIFILM Corporation and its Authorized Affiliates Distributors Partners and Customers Only Duplication or Distribution of this document without agreement from FUJIFILM Corporation is strictly prohibited FUJIFILM Corporation Synapse 3D US Product Specifications Z30N1138B RECIST tracker CT CT PET Using CT image mainly tracks temporal changes of a tumor e Registration between PET image and CT image e Extracts a tumor by specifying diameter e Displays histogram of lesions e Registers displays and evaluates tumors e Output to reports on each state of approve determine and overall determine e Compares with previous study e Selects tumor evaluation criteria from WHO RECIST1 0 PERCIST tracker PET CT PET Using PET image manly tracks temporal changes of a tumor e Registration between PET image and CT image e Calculates maximum averaged SUV on specified position using sphere VOI e Registers displays and evaluates tumors e Output to reports on each state of approve determine and overall determine e Compares with previous study 8 7 Detailed functional specifications for Synapse 3D Colon Analysis option The following are the detailed functio
45. de but not limited to the EC directive 2002 96 EC of the European Parliament and of the Council of 27 January 2003 on waste electrical and electronic equipment WEEE Directive A Caution Computers and monitors specified in the Synapse 3D product specification are designed to meet the requirements of IEC60950 or equivalent standards but not in accordance with IEC60601 1 required for medical 10 62 Proprietary Information For Distribution within FUJIFILM Corporation and its Authorized Affiliates Distributors Partners and Customers Only Duplication or Distribution of this document without agreement from FUJIFILM Corporation is strictly prohibited FUJIFILM Corporation Synapse 3D US Product Specifications Z30N1138B equipment installed in an environment where a patient may accidentally touch the equipment To use the workstation in such an environment specific safety measures related to the computer to be used are necessary Consult the computer dealer for measures to be taken The computer to be used with Synapse 3D is classified as electrical equipment To use the equipment correctly and prevent any danger please observe the following electrical equipment use precautions A Caution 1 Observe the following precautions when installing the computer 1 Install the equipment in a dry place away from water 2 Install the equipment where it will not be adversely affected by atmospheric pressure temperature humidity ventilation
46. e pre installed Windows f If the computer is forcibly terminated while using the system due to a power outage or other reasons data may be lost It is recommended to use an uninterruptible power supply system If a power outage occurs and an uninterruptible power supply system is in use terminate the workstation as soon as possible g When leaving an image displayed for a long time during operation use the screensaver If it does not start running contact your service engineer If an image has been displayed for a long time even after the display changes the image may be visible as a residual image on the next display The video card may become quite hot depending on the screensaver in use causing a malfunction 7 A Caution For Hardware and software being used with Synapse 3D a Do not install any hardware onto the workstation other than those designated by FUJIFILM Corporation b Do not install any software onto the workstation other than those designated by FUJIFILM Corporation c Do not uninstall originally installed software Do not install any software other than that originally installed 13 62 Proprietary Information For Distribution within FUJIFILM Corporation and its Authorized Affiliates Distributors Partners and Customers Only Duplication or Distribution of this document without agreement from FUJIFILM Corporation is strictly prohibited FUJIFILM Corporation Synapse 3D US Product Specifications Z30N113
47. eading MPR reading e Overlay or blending is configurable e Automatic rigid registration Manual rigid registration by translation and rotation e Registration by specifying reference points e Composites two images using rigid body registration and supports the following post processing reconstructions for 3D viewing rigid body registration applied only to overlaid image subtraction value absolute subtraction value addition value average value maximum value minimum value In case of different modalities WL conversion can be specified for reconstruction e Composites two images using rigid body registration and supports the following post processing reconstructions for saving as a DICOM image rigid body registration applied only to overlaid image subtraction value absolute subtraction value addition value average value maximum value minimum value In case of different modalities WL conversion can be specified for reconstruction Comparative observation using analysis results from past studies e Can compare saved snapshots of past studies side by side with current study viewer e WW WL current position pan rotation and zoom rate can be switched between SYNC ASYNC e Series registration of CT images using position recognition Nuclear Medicine Viewer Viewer that specializes in fusion display of CT and PET or NM images e Correlation reading e Reference reading MPR read
48. f this document without agreement from FUJIFILM Corporation is strictly prohibited FUJIFILM Corporation Synapse 3D US Product Specifications Z30N1138B 1 Product overview The product Synapse 3D Base Tools is a system that receives and retrieves DICOM data from modalities including CT MR PET XA etc and constructs 3D images and performs image analysis The product has the following features Optimum operability Users can configure a wide range of settings to enable optimum operations They can enjoy stable operations at an optimal speed without noticing any slowdowns thanks to optimized processing based on the latest multi core CPU and native 64 bit OS for data loading and 3D reconstruction 3D image processing The 3D processing is optimized to the sub voxel level to achieve the best imaging performance while providing the freedom to set object surface textures 3D ray directions and light attribute settings Useful operations such as clipping and interactive processing can be performed in real time Rendering can be performed at multiple resolutions Various applications Various useful applications are available to use for different body parts and images from many modalities Extremely large images and image series e g cardiac images can be loaded directly into memory Operation is simple and easy using Image Intelligence Fujifilm s proprietary image processing technology Query Retrieve Q R
49. fications Z30N1138B e Report Creates stores and prints reports e Snapshot Stores and restores working status e Surface rendering Display polygon model and output polygon model to external files e Offline VR create offline content that can be displayed in pseudo 3D in a Web browser Image application e 2D Viewer Simple viewer for 2D reading e 3D Viewer Displays 2D cross sections 3D images e 4D Viewer Displays 4D cine play of multi phase images e g cardiac images edits phase time information e 3D Comparison Compares multiple series images in 2D cross section and 3D display e Slicer Application for observation of arbitrary cross section e Dynamic Data Displays profile curve and color map of dynamic images e Fusion Viewer superimposes two 3D intra intermodality images e 3D Compositor Viewer displays multiple 3D images in the same coordinate space e Vessel Extraction Uses images pre contrast and post contrast agent extracts and displays cerebral blood vessels e Nuclear Medicine Viewer Overlay display of CT images with NM or PET images e Combination Combines multiple CT or MR images taken in two or more times e Sector MPR Using single multiple phase CT MR images observes sector or rectangular MPR images e Dental MPR Using CT image creates and displays panorama image along dental arch and cross section of Alveolar bone e ADC Viewer Using MR diffusion image calculates and displays ADC map e 2D Fusi
50. girth BMI diagnostic result comments and images 3D Fat Analysis CT Calculates volume and percentage of visceral fat and subcutaneous fat using 3D CT abdominal images e Automatic detection of subcutaneous fat and visceral fat and psoas major e Automatic recognition of upper surface of the diaphragm pubic symphysis and umbilicus position e Manual correction to the result of automatic detection of subcutaneous fat visceral fat and psoas major e Calculation of the area of subcutaneous fat and visceral fat e Calculation of fat percentage in the region for analysis e Calculation of circumference of body surface e Displays an overlay of the frequency distribution of both subcutaneous fat and visceral fat onto the surface of the 3D view e Calculation of BMI Output to reports Total area of fat area of subcutaneous fat area of visceral fat abdominal girth 55 62 Proprietary Information For Distribution within FUJIFILM Corporation and its Authorized Affiliates Distributors Partners and Customers Only Duplication or Distribution of this document without agreement from FUJIFILM Corporation is strictly prohibited FUJIFILM Corporation Synapse 3D US Product Specifications Z30N1138B BMI volume of visceral fat volume of subcutaneous fat volume percentage of body fat volume percentage of subcutaneous fat diagnostic result comments and images e C
51. hout agreement from FUJIFILM Corporation is strictly prohibited FUJIFILM Corporation Synapse 3D US Product Specifications Z30N1138B Tablet client Recommended requirements Minimum requirements 6 OS Microsoft Windows 8 1 Microsoft Windows 8 1 iOS 6 0 or later iOS 6 0 or later Android 4 1 1 or later Android 4 0 or later CPU Intel Atom Z2760 Intel CPU 1 6Ghz or greater CPU 1 8GHz or greater Intel Atom 1 8GHz or greater for Windows Apple A5X or greater for iOS NVIDIA Tegra 3 1 6GHz or greater for Android Apple A5 or greater for iOS NVIDIA Tegra 3 1 0GHz or greater for Android Web browser Internet Explorer 10 0 for Windows Safari for iOS Google chrome for Android Main memory 2GB or more 1GB or more HDD For OS and software 64GB or greater 16GB or greater Wireless LAN IEEE802 11a b g n Wireless LAN IEEE802 11a b g n Wireless LAN Monitor 2048x1536 1920x1080 1024 x 768 1280x800 1024x768 Standalone Recommended requirements Minimum requirements 6 Os Microsoft Windows 8 1 x64 Microsoft Windows 8 1 x64 CPU 5 Intel Xeon processor E5 2630 v2 Intel Xeon processor E5 2630 v2 2 6GHz or greater 2CPUs or more 2 6GHz 2CPU Main memory 16GB HDD 1TB SATA 6 0Gb s NCQ HDD 7200rpm 500GB SATA 6 0Gb s NCQ HDD 7200rpm RAID1 RAID1 Network adaptor 1000BASE T or faster 100BASE T Graphic VRAM 1 0GB or more VRAM 512MB DirectX 11 i
52. hout agreement from FUJIFILM Corporation is strictly prohibited FUJIFILM Corporation Synapse 3D US Product Specifications Z30N1138B FUJIFILM 62 62 Proprietary Information For Distribution within FUJIFILM Corporation and its Authorized Affiliates Distributors Partners and Customers Only Duplication or Distribution of this document without agreement from FUJIFILM Corporation is strictly prohibited FUJIFILM Corporation
53. ibutors Partners and Customers Only Duplication or Distribution of this document without agreement from FUJIFILM Corporation is strictly prohibited FUJIFILM Corporation Synapse 3D US Product Specifications Z30N1138B 7 Upgrade It is possible to upgrade to Synapse 3D V4 x from Synapse 3D V2 X or Synapse 3D V3 X An upgrade option needs to be purchased certainly for the upgrade The upgrade kit is included in the installation CD It is possible to upgrade not only the software itself but also the software environments DICOM images could be migrated by a script attached with the upgrade kit Apart of user setting e g Color Template could be taken over to Synapse 3D V4 x by a script attached with the upgrade kit Snapshot created in previous version Synapse 3D V2 x can be analyzed on Synapse 3D V4 x by using dedicated application based on Synapse 3D V2 x if original DICOM image are migrated In this case not the latest communication method but the previous communication method using Terminal Service is applied Snapshots created in Synapse 3D V3 x can be loaded directly in Synapse 3D V4 x A comparison of main configuration between Synapse 3D V3 x and Synapse 3D V4 x is shown as follows Item Synapse 3D V3 x Synapse 3D V4 x Server OS Windows Server 2008 R2 Enterprise Windows Server 2012 Standard Edition 64 bit Edition 64 bit Sta
54. ing e Overlay or blending is configurable e Automatic rigid registration e Manual rigid registration by translation and rotation e Registration by specifying reference points Comparative observation using analysis results from past studies e Can compare saved snapshots of past studies side by side with current study viewer WW WL current position pan rotation and zoom rate can be switched between SYNC ASYNC e Series registration of CT images using position recognition 42 62 Proprietary Information For Distribution within FUJIFILM Corporation and its Authorized Affiliates Distributors Partners and Customers Only Duplication or Distribution of this document without agreement from FUJIFILM Corporation is strictly prohibited FUJIFILM Corporation Synapse 3D US Product Specifications Z30N1138B 3D Compositor 3D viewer which displays up to five 3D images in the same coordinate frame e Automatically or manually adjusts the position of overlay images in reference to a base image e Registration by specifying reference points e Perform series registration of CT images using non rigid registration and display deformed images e Displays multiple overlain 3D images in the VR view e Displays volume mapping e Synchronizes all 3D views e Edits masks for each 3D view e Inserts 2D MPR cross section planes into each 3D image and synchronizes them with the 2D slice view di
55. isplaying multiple MPR images along an object time density distribution basic image processing CINE measurements annotations reporting printing storing distribution and general image management and administration tools etc e Tools for regional segmentation of anatomical structures within the image data path definition through vascular and other tubular structures and boundary detection e Image viewing tools for modality specific images including CT PET fusion and ADC image viewing for MR studies Indications for Use for Synapse 3D Cardiac Tools Synapse 3D Cardiac Tools is medical imaging software used with Synapse 3D Base Tools that is intended to provide trained medical professionals with tools to aid them in reading interpreting reporting and treatment planning Synapse 3D Cardiac Tools accepts DICOM compliant medical images acquired from a variety of imaging devices including CT MR NM and XA This product is not intended for use with or for the primary diagnostic interpretation of Mammography images Addition to the tools in Synapse 3D Base Tools Synapse 3D Cardiac Tools provides the tools for specific clinical applications which provide targeted workflows custom Ul targeted measurements and reporting functions including e Functional cardiac analysis for CT left ventriculography images which is intended to evaluate the functional characteristics of heart e Functional cardiac analysis for non contrast MR heart images
56. ized Affiliates Distributors Partners and Customers Only Duplication or Distribution of this document without agreement from FUJIFILM Corporation is strictly prohibited FUJIFILM Corporation Synapse 3D US Product Specifications Z30N1138B Vessel Extraction Extracts blood vessels using both pre contrast and post contrast CT and displays the extraction result Runs bed removal on loading the image e Adjustable mixing ratio of pre contrast images and post contrast images for displaying 2D cross section view and 3D view Automatic or manual rigid registration e Can perform registration by specifying reference points e Can perform non rigid registration e After vessels are extracted they can be viewed as vessel 3D vessel MIP vessel bone vessel calcification or stereoscopic display e After extraction blood vessels are displayable in 3D view MIP view or stereoscopic view Both blood vessels and bone are displayed in the 3D view e Saves vessel image to DICOM data e 3D Viewer is available to open a view of the vessel image e Can extract cerebral arteries and veins from vessel image e Can insert image plane into 3D display Dental MPR Displays and prints panorama image along dental arch and cross section of Alveolar bone using CT image e Sets up position and direction of horizontal cross section e Displays panorama image e Displays cross section of Alveolar b
57. ly prohibited FUJIFILM Corporation Synapse 3D US Product Specifications Z30N1138B 6 3 Operational limitations on tablet devices The workstation software that runs on a tablet device is intended to be used for observing snapshots reports and movies that were created on a dedicated client and stored on the server Therefore the functionality and user interface differ from the dedicated client 6 3 1 Snapshots that can be observed on a tablet device The following applications permit the observation of snapshots on a tablet device 2D Viewer for observation of the original images 3D Viewer 4D Viewer Nuclear Medicine Viewer Fusion 3D Compositor 2D Fat Analysis 3D Fat Analysis Sector MPR Liver Analysis Kidney Analysis Vessel Extraction Lung Analysis Scope 3D Viewer with VE Sector MPR Coronary Artery Analysis CT Lung Analysis Resection Colon Analysis Craniotomy Tensor Analysis gt fF gt gt OOH H o oo He He HT HF HF HF HF SF Oo 6 4 Operational limitations of offline VR Offline VR lets you observe 3D images in a standard Web browser without requiring special software However because it requires loading and displaying a large number of images captured at specific intervals incidents such as memory shortages or images failing to display may occur depending on the operating environment 31 62 Proprietary Information For Distribution within FUJIFILM Corporation and its Authorized Affiliates Distr
58. n and its Authorized Affiliates Distributors Partners and Customers Only Duplication or Distribution of this document without agreement from FUJIFILM Corporation is strictly prohibited FUJIFILM Corporation Synapse 3D US Product Specifications Z30N1138B Display results end diastolic volume EDV end systolic volume ESV end diastolic volume index EDVI end systolic volume index ESVI stroke volume SV cardiac output CO cardiac index Cl peak filling rate PFR time to peak filling TPF ejection fraction EF body surface area myocardial mass Bull s eye display ventricular radius region EF wall thickness wall thickening rate wall motion etc Display EF curve of 4 chamber region Display surface of each 4 chamber region Surface display that maps each bull s eye color to surface of ventricle Display myocardial regions Choice of whether to include volume of ventricular papillary muscles in either ventricle or myocardium eleleleole Output analysis values bull s eye EF curve observation and images to a report Non rigid registration between phases Bull s eye display of parameters using information from non rigid registration between phases Can start cardiac fusion in conjunction with results of coronary analysis and map results of 4 chamber analysis onto surface of heart o o Cardiac Ablation Analysis e Automatic extraction of the heart
59. nal specifications for Synapse 3D Colon Analysis option Colon Analysis CT Perform Observation by generating a path through the colon from CT image e Load one or both of the supine and prone position images e Can automatically extract the colon and add manually if that is not sufficient e Can semi automatically specify a path through the extracted colon e Show display region whole or local display method colon near surface AirWay RaySum surface display airway surface airway internal external surface e Virtual endoscopy view of colon along the path e Walk through function e Create movie for virtual endoscope Unfolded cube view display e Display straight open view Display straight cross section view e Depth MIP display of thickness from wall for virtual endoscope and each straight open view e Can record positions of lesions such as a polyps e Digital cleansing e Simultaneous display of images before and after execution of cleansing e Can edit cleansing area 60 62 Proprietary Information For Distribution within FUJIFILM Corporation and its Authorized Affiliates Distributors Partners and Customers Only Duplication or Distribution of this document without agreement from FUJIFILM Corporation is strictly prohibited FUJIFILM Corporation Synapse 3D US Product Specifications Z30N1138B Synchronize two images e Can regis
60. napse 3D Nodule Analysis option The following is the function specifications summary for Synapse 3D Nodule Analysis option Image application e RECIST tracker Using CT image observes temporal changes of a tumor and creates report e PERCIST tracker Using PET image observes temporal changes of a tumor and creates report 5 7 Function specifications summary for Synapse 3D Colon Analysis option The following is the function specifications summary for Synapse 3D Colon Analysis option Image application e Colon Analysis path creation and observation of the colon using CT images 5 8 Function specifications summary for Synapse 3D Tensor Analysis option The following is the function specifications summary for Synapse 3D Tensor Analysis option Image application Craniotomy Simulator Tensor Analysis Tractography extraction and craniotomy simulation 27 62 Proprietary Information For Distribution within FUJIFILM Corporation and its Authorized Affiliates Distributors Partners and Customers Only Duplication or Distribution of this document without agreement from FUJIFILM Corporation is strictly prohibited FUJIFILM Corporation Synapse 3D US Product Specifications Z30N1138B 6 System restrictions The following are restrictions for Synapse 3D Base Tools tem i eseription O Number of modality The maximum number of modality connections is 30 Client conne
61. ndalone OS Windows 7 64 bit Edition Windows 8 64 bit Edition Client OS Windows 7 64 bit Edition Windows 8 64 bit Edition Tablet OS Windows 8 32 bit Edition Tablet support N A Available with feature limitations Features Added new features below MR Flow Analysis 4D Perfusion Liver Analysis MR Tx Map 4 Chamber Analysis Cardiac Abration Analysis Craniotomy Tensor Analysis Kidney Analysis 32 62 Proprietary Information For Distribution within FUJIFILM Corporation and its Authorized Affiliates Distributors Partners and Customers Only Duplication or Distribution of this document without agreement from FUJIFILM Corporation is strictly prohibited FUJIFILM Corporation Synapse 3D US Product Specifications Z30N1138B Lung Analysis Resection 33 62 Proprietary Information For Distribution within FUJIFILM Corporation and its Authorized Affiliates Distributors Partners and Customers Only Duplication or Distribution of this document without agreement from FUJIFILM Corporation is strictly prohibited FUJIFILM Corporation Synapse 3D US Product Specifications Z30N1138B 8 Function specifications detail 8 1 Detailed functional specifications for Synapse 3D Base Tools The following are the detailed functional specifications for Synapse 3D Base Tools General Multi user environment e Different settings can be specified per user The users can share the da
62. nded deletion by the user and automatic deletion Protection can be set up to the level of Study Series Export of local data to fixed drive e Ability to export DICOM files including DICOM conversions of snapshot movie report to fixed drive e g HDD e Ability to select DICOM tags whose information will be deleted to anonymize patient information by using a settings file Exports simple viewer Exports DICOMDIR Import image from CD DVD HDD e Direct importation of DICOM files from a specified folder Image export format e Converts DICOM images to general format files and exports them Image JPEG BMP PNG Movie AVI MPEG WMV Transfer Q R e Image transfer from local data to another AE C STORE e Search C FIND and retrieve C MOVE from another AE Search by patient ID patient name start date end date modality comment Search function by comment is available only between two Synapse 3D DICOM Servers Retrieve data at the level of Study Series and Instance Automatic image processing e Generate automatic snapshot Generate application auto start launcher Print Print to DICOM printers Settings specified at time of print page range number of copies print direction film Prior settings by service engineers color print priority print media film output destination magnification type structure information smooth type edge density blank image density edging
63. ns in this document related to the interpretation of displayed images apply equally to these exported images 3 A Caution For studies to be used Users must be fully conversant with the limitations of the basic imaging modality and of ensuing image processing This includes understanding the limitations of the initial series acquisition image processing technology used and image display methods Also be aware that medical imaging is valid only when appropriate measures have been taken to obtain optimal images with correct orientation and correct patient identifiers 4 A Caution For Image processing a The user must keep the limitations of 3D image processing in mind when viewing 3D images Small pathologies may go undetected because the interslice distance is too great relative to the size of the pathology The creation of a 3D image using interpolation of data points between image slices based on the original image can create a smooth looking 3D image The user must interpret the apparent lack of pathology in the context of the inherent limitation in the resolution of the original slice images as scanned b Artifacts may appear in the image depending on the amount of image processing When using an image processing method fully understand its characteristics c The visualization settings of the 3D views may cause some anatomical features to be completely transparent and therefore invisible Synapse 3D allows users to hide anatomic
64. odel and output polygon model to external files 2D Viewer Simple viewer for 2D reading e Displays cine play e Allows switching among cross section display types e g axial sagittal coronal etc e Real time stack reconstruction Joins multiple cross sectional slices together and displays the result in Ray summation MIP or MinIP mode Links coordinates between series e Applies the same display position window width and level and magnification rate to specified images while displaying them e Captures each slice of entire selected series e Can browse a series list of related study data e Stores and restores image layout 3D Viewer Display of 2D cross sections 3D images and virtual Endoscopy views e Displays 2D cross sections e 3D view edit Binocular stereo Simultaneous display of 3D views with small difference in angle e Inserts image plane Inserts 2D cross section planes into 3D view and synchronizes with 2D cross section view e Effective use of 3D display area Can be used as an additional MPR slice without using 3D display Comparative observation using analysis results from past studies e Can compare saved snapshots of past studies side by side with current study viewer e WW WL current position pan rotation and zoom rate can be switched between SYNC ASYNC e Series registration of CT images using position recognition Virtual endoscope
65. of this document without agreement from FUJIFILM Corporation is strictly prohibited FUJIFILM Corporation Synapse 3D US Product Specifications Z30N1138B 5 Function specifications summary 5 1 Function specifications summary for Synapse 3D Base Tools The following is the function specifications summary for Synapse 3D Base Tools Image management e DICOM input Receives images from DICOM devices e DICOM output Sends images to DICOM devices e DICOM Q R Query Retrieve image data to from DICOM devices Study list display Shows a multi level study list including Study Series Instance e Search Search by patient ID patient name study date modality comment and body part examined Add comments Adds comments to Study Series e Search condition preset Sets up search conditions customizable for each user e Referencing DICOM headers Displays DICOM data elements of images and outputs them in CSV format e Data protection Data protection at Study and Series level to prevent unintended data deletion Import and export import DICOM files from HDD and optical drive export DCIOM files to HDD e Anonymization of patient information Exports image data with anonymous patient information e Export of converted image data Converts DICOM images to general file format images JPEG etc e Image storage Converts created movie captured images to DICOM image general image files or general movie file and stores them e
66. ogonal cross sections Synthesizes and displays stretched CPRs of all branches of either left coronary artery or right coronary artery Comparative observation using analysis results from past studies e Can browse and compare current study with saved snapshots of past studies e WW WL current position pan rotation zoom rate and straightened CPR can be switched between SYNC ASYNC e Can apply analysis results from past studies to current study using non rigid registration Macro e Records and plays based on user operation Coronary Artery Analysis MR Coronary artery analysis of cardiac MR images e Cross section observation set simple path display SlabMIP of any slice thickness e Automatically or manually extracts the heart region 47 62 Proprietary Information For Distribution within FUJIFILM Corporation and its Authorized Affiliates Distributors Partners and Customers Only Duplication or Distribution of this document without agreement from FUJIFILM Corporation is strictly prohibited FUJIFILM Corporation Synapse 3D US Product Specifications Z30N1138B e Extracts coronary artery by either a classifying method or a tracking method e Extracts bypass blood vessels Edits central lines and contours e Displays coronary arteries in each of the following views VR SMIP angiography left right left and right Aorta segmentation result can be toggled e Measures
67. on Viewer superimposes two 2D intra intermodality images General CPR Extraction and CPR display of vessel paths and the aorta stenosis rate and color mapping analysis virtual stent graft e MPR Reformat Observation of arbitrary cross sections along the reference line using either line sector or circle e Tx Map Creates a T2 Map using T2 images 5 2 Function specifications summary for Synapse 3D Cardiac Tools option The following is the function specifications summary for Synapse 3D Cardiac Tools option Image application e Coronary Artery Analysis CT Using cardiac CT image extracts coronary artery displays CPR and measures stenosis and plaque e Coronary Artery Analysis MR Using cardiac MR image extracts coronary artery displays CPR and measures stenosis e Functional Cardiac Analysis CT Using single or multiple phase cardiac CT images evaluates cardiac function e Functional Cardiac Analysis MR Using single or multiple phase cardiac MR images evaluates 25 62 Proprietary Information For Distribution within FUJIFILM Corporation and its Authorized Affiliates Distributors Partners and Customers Only Duplication or Distribution of this document without agreement from FUJIFILM Corporation is strictly prohibited FUJIFILM Corporation Synapse 3D US Product Specifications Z30N1138B cardiac function e Calcium Scoring Using cardiac CT image displays color mapping of calcific
68. one e Prints using Windows DICOM printer e Saves all images orthogonal cross section panorama image and cross section of Alveolar bone in DICOM format or transfers to capture box e Can display virtual implant and nerve and set margin of nerve VR display of LR view and AP view ADC Viewer Calculates and displays ADC Map from MR Diffusion image e Reads diffusion weighted image e Reads background image e Perform registration automatically or manually e Displays ADC Map and eADC Map Supported manufacturers GE Philips e Displays maximum and minimum value of ADC e Measurement of circular rectangle and freehand ROIs e Display computed DWI 44 62 Proprietary Information For Distribution within FUJIFILM Corporation and its Authorized Affiliates Distributors Partners and Customers Only Duplication or Distribution of this document without agreement from FUJIFILM Corporation is strictly prohibited FUJIFILM Corporation Synapse 3D US Product Specifications Z30N1138B 2D Fusion Viewer superimposes two 2D intra intermodality images e Fuse 2D or 3D images e Save created fusion images as a DICOM file Sector MPR Observation of sector or rectangular MPR images using CT and MR images with single or multiple phases e For images with multiple phases plays them in cine mode in 2D slice 3D or creates sector or rectangular MPR Duration of each phase is edit
69. ons with surface rendering e Displays cut planes MPR cut plane in the 3D view e Simulates removal of tumor region e Display organs near cut plane of region division e Display sector MPR images e Output liver region information from the results of the region division to a report Liver Analysis MR Perform observation and analysis of contrast enhanced images using abdominal MR images e Load multi phase images of different times e Load non contrast enhanced images as reference images e Comparison display of local viewing areas e Simultaneous display of regions of interest for multi phase images Image registration between multi phase images 58 62 Proprietary Information For Distribution within FUJIFILM Corporation and its Authorized Affiliates Distributors Partners and Customers Only Duplication or Distribution of this document without agreement from FUJIFILM Corporation is strictly prohibited FUJIFILM Corporation Synapse 3D US Product Specifications Z30N1138B e Extract liver and spleen based on specified region e Display results of image calculation by user specified formula e Pseudo color display of calculation result image e Overlay display of calculation result image and original image Kidney Analysis CT Using contrast enhanced CT images of kidney perform extraction of kidney and each vessel region and view results in 3D e
70. oration accepts no liability whatsoever with regard to faults or damage arising from modifications maintenance or repairs in which replacement parts other than the genuine parts approved by 4 62 Proprietary Information For Distribution within FUJIFILM Corporation and its Authorized Affiliates Distributors Partners and Customers Only Duplication or Distribution of this document without agreement from FUJIFILM Corporation is strictly prohibited FUJIFILM Corporation Synapse 3D US Product Specifications Z30N1138B FUJIFILM Corporation were used 6 FUJIFILM Corporation accepts no liability whatsoever with regard to faults or damage arising as a result of a failure to observe the safety precautions and operational procedures provided in the User Manual 7 FUJIFILM Corporation accepts no liability whatsoever with regard to faults or damage caused by ambient conditions that deviate from the operating conditions for this product such as the power supply and installation environment that are specified in the Product Specification and User Manual 8 FUJIFILM Corporation accepts no liability whatsoever with regard to faults or damage caused by natural events such as fires earthquakes floods or lightning 5 62 Proprietary Information For Distribution within FUJIFILM Corporation and its Authorized Affiliates Distributors Partners and Customers Only Duplication or Distribution of this document without agreement from FUJIFILM Corporation is
71. orkflows and UI and reporting functions for nodule analysis including SUV measurement of nodules with sphere VOI based on the location specified by the user temporal comparison of nodule images and fusion of a PT nodule image on a CT nodule image Indications for Use for Synapse 3D Colon Analysis Synapse 3D Colon Analysis is medical imaging software used with Synapse 3D Base Tools to accept display and process DICOM compliant 2D and 3D medical images acquired from CT for the purpose of viewing of a colon to detect polyps masses cancers and other lesions It is intended to be used by trained medical professionals in reading interpreting reporting and screening Addition to the general 2D and 3D image processing and measurement tools available in Synapse 3D Base Tools Synapse 3D Colon Analysis provides custom workflows UI and reporting functions for colon analysis including colon segmentation detection of the centerline of colon fly through of the entire colon various rendering and visualization of colon comparing both prone and supine views and electronic cleansing Indications for Use for Synapse 3D Tensor Analysis Synapse 3D Tensor Analysis is medical imaging software used with Synapse 3D Base Tools to accept display and process DICOM compliant 2D and 3D medical images acquired from MR for the purpose of viewing of local water diffusion properties and directional dependence of the diffusion in the white matter It is intended to be
72. play MIP rendering display of only vicinity along multiple paths Can change CPR display to MIP MinIP or RaySum Orthogonal view of applying smoothing filter or edge enhancement filter Connect path route Stenosis measurement A Ae joo o a a a a a 45 62 Proprietary Information For Distribution within FUJIFILM Corporation and its Authorized Affiliates Distributors Partners and Customers Only Duplication or Distribution of this document without agreement from FUJIFILM Corporation is strictly prohibited FUJIFILM Corporation Synapse 3D US Product Specifications Z30N1138B Virtual stent graft Extract and display aorta e Automatically extract aorta e Aortic stent placement e Vessel information display for catheter implantation Panorama CPR display e Panorama CPR display MPR Reformat Observe and save an arbitrary oblique plane based on scan line that was set Create arbitrary cross section using axis line sector or circle e Set slice spacing thickness and FOV Sort multiple slices according to position Transfer obtained slice images to a capture box or save as DICOM images Tx Map Calculate and display T2 map from MR images Load diffusion weighted images Display T2 map Display max and min T2 values ROI measurement using a point ellipse rectangle polygonal line or free form shape
73. pment optional CT MR etc Synapse 3D Non DICOM Standalone PC Diagnostic DICOM imaging conversion equipment G W device ultrasound etc DICOM Printer i DICOM Storage Receive DICOM compliant images such as CT and MR images ii Receive images through interface For modalities that do not support the DICOM standard separate DICOM conversion GW device is required iii DICOM Q R Storage Display and analyze images by DICOM query and retrieval iv DICOM Printer Enables DICOM printing v Local Data Import Import DICOM data from CD DVD Notes e With respect to connections to other systems this covers those devices confirmed in advance by connection testing etc e The standalone model does not support connections from tablet clients 19 62 Proprietary Information For Distribution within FUJIFILM Corporation and its Authorized Affiliates Distributors Partners and Customers Only Duplication or Distribution of this document without agreement from FUJIFILM Corporation is strictly prohibited FUJIFILM Corporation Synapse 3D US Product Specifications Z30N1138B 3 Product package configurations The following are product package configurations for Synapse 3D Installation CD e Synapse 3D Base Tools software and related software e Synapse 3D Cardiac Tools option e Synapse 3D Brain Perfusion option e Synapse 3D Lung and Abdomen Analysis option e Synapse 3D Liver and Kidney Analysis option e Synapse
74. r receives a login request from a Synapse 3D Client the master server can select a login server automatically by confirming each server s login status lt Server and Client Configuration gt Scope of this product aa ue a gt a a 1 Image Diagnostic Ce eS a 5 Device CT MR etc Synapse 3D Master server 7 DICOM server Non DICOM Images A Tai DICOM Transfer Diagnostic Device w CT MRetc G W device Synapse 3D Slave server Synapse 3D Slave server Generic PC DICOM Printer Synapse Client 18 62 Proprietary Information For Distribution within FUJIFILM Corporation and its Authorized Affiliates Distributors Partners and Customers Only Duplication or Distribution of this document without agreement from FUJIFILM Corporation is strictly prohibited FUJIFILM Corporation Synapse 3D US Product Specifications Z30N1138B i DICOM Storage Receive DICOM compliant images such as CT and MR images ii Receive images through interface For modalities that do not support the DICOM standard separate DICOM conversion GW device is required jii DICOM Q R Storage Display and analyze images by DICOM query and retrieval iv DICOM Printer Enables DICOM printing v Local Data Import Import DICOM data from CD DVD vi Integration with Synapse Refer DICOM database of Synapse lt Standalone Configuration gt Scope of this product Diagnostic imaging NAS equi
75. r the basis of analysis or measurement in applications Set them appropriately b When performing measurement specify the coordinates and the units carefully c For measurement the workstation uses the DICOM information attached to the image by the medical equipment used to produce the image Medical practice using the measurement results should be performed at the user s own responsibility d Use the workstation taking into account errors between an image and the measurement result An image used for measurement may have errors in the length of the subject depending on the image capturing method e Note that if you measure the distance or other things on a saved image of CPR the measurement is performed on a curved surface f Accuracy of the measurement functions is described in the measurement section in the User Manual Read and understand the accuracy and limitation information of measurement before use 13 Mote Operate the security functions and procedures as specified to protect the workstation or patient information from an unauthorized access 14 Note For installation environment 15 62 Proprietary Information For Distribution within FUJIFILM Corporation and its Authorized Affiliates Distributors Partners and Customers Only Duplication or Distribution of this document without agreement from FUJIFILM Corporation is strictly prohibited FUJIFILM Corporation Synapse 3D US Product Specifications Z30N1138B
76. rate PFR time to peak filling TPF ejection fraction EF body surface area myocardium weight e Display of bull s eye plots Ventricular internal radius region ejection fraction wall thickness amount of change in wall thickness increase rate of wall thickness momentum of wall motion etc Displays ventricular volume curve e Displays overlay of the mapping image of each bull s eye plot onto the ventricular contours for surface rendering e Displays myocardial region e Displays volume data with highlighted left ventricle left atrium and cardiac vessels in 2D cross sectional view e Can specify how to handle papillary muscle volume in ventricle or in myocardium e Outputs analytical values bull s eye plots ventricular volume curve observations and images to a report e Calls Cardiac Fusion to overlay the Cardiac Function analysis results onto the heart surface together with the Coronary Artery analysis results Functional Cardiac Analysis MR Cardiac function analysis with cardiac MR cine images e 4D cine play e Creates 4D movie e Specifies cardiac base and apex for all phases or individual phase then specifies the center position for each slice in the short axis views Automatic extraction of contours of left ventricle and myocardium e Manual selection of contours of left ventricle and myocardium in the short axis views e Intermediate phase contours are interpolate
77. results capture ability to save measurement values and graphs to text file csv txt e 3D viewing editing measurement e Real time stack reconstruction Joins multiple cross sectional slices together and displays the result in Ray summation MIP or MinIP mode e Registration between series using bed position or spine recognition e Ability to set up synchronization options e When using multiple monitors can synchronize study to be analyzed with selected study on study list Dynamic Data Display of individual parameter images or time intensity curves of slices of multi phase data e Loads single or multiple slice cine images e Displays time intensity curves e Display histogram e Displays parameter images difference time to peak max min area underneath curve 41 62 Proprietary Information For Distribution within FUJIFILM Corporation and its Authorized Affiliates Distributors Partners and Customers Only Duplication or Distribution of this document without agreement from FUJIFILM Corporation is strictly prohibited FUJIFILM Corporation Synapse 3D US Product Specifications Z30N1138B Point measurement and ROI measurement as a circle rectangle control point or freehand Output of measurement results in csv format e Displays and edits time Fusion Viewer superimposes two 3D intra intermodality images e Comparison reading e Reference r
78. ries and display of the plaque volume e Virtual stent grafting e Runs Cardiac Fusion using the nuclear medicine images e Saves orthogonal cross section paging CPR rotation and CPR translation as a movie a DICOM image or multiple capture images e Displays orthogonal cross sections with option of applying smoothing or edge enhancement filter e Related XA Observation Simultaneously displays 3D image and XA images of the same patient with the same orientation e Normal view slice view MPR view oblique view cross section view simple view layout horizontal view layout stretched CPR layout customized layout e CPR observation Displays two stretched CPR views side by side and rotates them in sync while maintaining a 90 degree angle between them e Chamber views 2 cavities 3 cavities 4 cavities aortic valve e Plaque map bull s eye plots e Creates reports Displays CPRs of coronary arteries e Creates magnified views of a selected area in the straightened CPR view and stretched CPR view e Displays graph of average diameter projected length of radius area and average signal value together with the straightened CPR view e Graph view can be toggled e Displays a list of cross sections that are orthogonal to given point in the blood vessel e Displays stretched CPR and 3D views side by side with the same orientation e Displays enlarged stretched CPRs in relation to the position of orth
79. rojected length of radius area and average intensity e Measures size of stenosis of blood vessels etc by specifying at least one normal diameter e Assigns up to four colors to blood vessels according to intensity values to overlay plaque portions e SMIP display MIP rendering display calculated from areas near surface regions e Ability to change CPR display mode among MIP MinIP and Ray summation modes Orthogonal cross section view of image with smoothing filter or edge enhancement filter applied e Connection of path 3D display e Volume rendering VR Shaded surface rendering SSD e Maximum intensity projection MIP Minimum intensity projection MinIP e Ray summation Raysum VR color template e Changes parameters ambient light diffuse light specular light shininess decay level opacity color mixture light source orientation self shadow e Sets up the shape of opacity function freehand increase toward right decrease toward right concave type convex type e Copy and paste of color templates e Displays 2D cross section in colors specified by the color templates e Registers color templates as a group 37 62 Proprietary Information For Distribution within FUJIFILM Corporation and its Authorized Affiliates Distributors Partners and Customers Only Duplication or Distribution of this document without agreement from FUJIFILM Corporation is strictly prohi
80. rs as much as possible f If the angle of view is not appropriate for image interpretation it may affect correct image interpretation Check the angle of view and adjust the monitor angle if necessary 10 ACaution Before interpreting an image operate the workstation so that images are displayed at the appropriate size Always check the image size in the display scale 41 A Caution Regarding the direction and the object orientation in image a The image display direction depends on the DICOM information attached to the image by the medical equipment used to produce the image When interpreting an image make sure the direction of the image is correct b When displaying images in which it is hard to differentiate the left from the right such as images of kidneys and head use the L or R displayed with the cube to confirm the orientation of the image The following image is displayed by reversing the right and left orientation of original image 14 62 Proprietary Information For Distribution within FUJIFILM Corporation and its Authorized Affiliates Distributors Partners and Customers Only Duplication or Distribution of this document without agreement from FUJIFILM Corporation is strictly prohibited FUJIFILM Corporation Synapse 3D US Product Specifications Z30N1138B 12 ACaution For measurements a Inappropriate analysis results and measurements may be output if inappropriate points or lines are used fo
81. s needed DirectX 11 is needed Monitor SXGA 1280 1024 UXGA 1600 1200 WUXGA 1920 1200 Single or dual screen 1 Please connect uninterrupted power supplies UPS to servers if necessary 2 Images will be stored in lossless compression format with about a 1 3 compression ratio with Synapse 3D default settings For example in the case of 1000 CT image 512 512 0 5 MB slice 1000 slices 1 3 167 MB will be used 22 62 Proprietary Information For Distribution within FUJIFILM Corporation and its Authorized Affiliates Distributors Partners and Customers Only Duplication or Distribution of this document without agreement from FUJIFILM Corporation is strictly prohibited FUJIFILM Corporation Synapse 3D US Product Specifications Z30N1138B Image storage capacity can be expanded by using extra network attached storage NAS 3 This requirement is only for the master server The slave server doesn t need to satisfy this requirement 4 Configuration using a 1Gbps network is recommended If the network load is high performance may drop significantly 5 Only Intel CPUs are supported 6 Other software or problems specific to hardware might affect this software behavior 7 This requirement is only for upgrade from V2 to V4 23 62 Proprietary Information For Distribution within FUJIFILM Corporation and its Authorized Affiliates Distributors Partners and Customers Only Duplication or Distribution
82. section view or the 3D view or displays the entire region e Lists volume maximum CT value mean CT value and standard deviation for each nodule e Displays intensity histogram for each nodule e Can capture the nodule list and histograms or save them to a file Airway analysis e Selects the paths of airway e Adds and deletes paths and edits central lines and contours e Displays CPRs of the paths of airway e Displays diameter information of paths on CPR and graph e Labels to airway on specified position e Extracts lung field occupied by labeled airways Displays low attenuation areas e Displays an overlay of the color coded image onto the lung region in 2D view Individually displays the results of analysis for right and left lung lung lobes and regions occupied by airways e Calculates histogram of the inside of the lung field e Displays an overlay of the low attenuation areas onto the surface of the lung e Calculates the volume of the region specified by each intensity range as well as the percentage of the lung field made up by that region e Allows registering and editing the color code of low attenuation areas 54 62 Proprietary Information For Distribution within FUJIFILM Corporation and its Authorized Affiliates Distributors Partners and Customers Only Duplication or Distribution of this document without agreement from FUJIFILM Corporation is strictly prohibite
83. separately from 28 62 Proprietary Information For Distribution within FUJIFILM Corporation and its Authorized Affiliates Distributors Partners and Customers Only Duplication or Distribution of this document without agreement from FUJIFILM Corporation is strictly prohibited FUJIFILM Corporation Synapse 3D US Product Specifications Z30N1138B the terminal Confirms next chapter 7 Upgrade about upgrade of this software from Synapse 3D V2 x and Synapse 3D V3 x It is possible to connect to this product by installing dedicated client software on a pre existing generic PC in the facility 29 62 Proprietary Information For Distribution within FUJIFILM Corporation and its Authorized Affiliates Distributors Partners and Customers Only Duplication or Distribution of this document without agreement from FUJIFILM Corporation is strictly prohibited FUJIFILM Corporation Synapse 3D US Product Specifications Z30N1138B 6 2 Spec requirements for generic PCs The minimum specifications for a generic PC used as a client are listed below These are minimum requirements However even if the PC meets these requirements it might not work due to hardware specific issues compatibility with other software etc Minimum specifications for a generic PC Component Contents OS Windows 8 32 bit 64 bit Windows 7 32 bit 64 bit Windows Vista SP1 or later 82 bit 64 bit Windows XP S
84. sphere mask on a clicked position Adds Deletes mask corresponding to the regions created by interpolating multiple ROIs set on the cross sections Function to fill in a mask on a 2D slice Multi mask e Registers and displays simultaneously up to 12 layers Status confirmation current mask status in real time Ability to reverse mask perform ADD SUB AND XOR operations between two layers e Up to 8 layers can be used as additional mask storage registration only Reformat Ability to reformat by line sector circle e Plays cine of reformatted slices e Saves reformatted slices as sequential images or a movie SUV evaluation 39 62 Proprietary Information For Distribution within FUJIFILM Corporation and its Authorized Affiliates Distributors Partners and Customers Only Duplication or Distribution of this document without agreement from FUJIFILM Corporation is strictly prohibited FUJIFILM Corporation Synapse 3D US Product Specifications Z30N1138B e Displays SUV max min standard deviation of sphere VOI of PET images Supported manufacturers Siemens Philips Shimadzu GE Report e Ability to create reports Ability to create and save reports as private DICOM data Snapshot save e Saves operation status When the status is saved as private DICOM data it can be transferred to another server for restoration Surface display e Display polygon m
85. splay Stereoscopic view Slicer Observes and prints arbitrary cross sections based on set up slice line e Creates arbitrary cross sections by a single slice multiple slices along a line or a curve e Sets up slice interval slice thickness and FOV Inserts inset image into each images e Sorting multiple slices according to position e Sets up lines for intervertebral and centrum automatically by spinal detection e Outputs Windows DICOM printer e Transfers obtained cross sections to capture box or saves in DICOM format e Displays CPR along slices e Enter and display related images Combination Combines data taken widely as multiple series and creates compound image e Signal transformation density adjustment for pixels Manual rigid registration by translation and rotation e Specifies range of combination e Displays orthogonal cross section and MIP of compound image e Processes by 3D Viewer using compound image e Saves compound image as other series in DICOM dicom format e Selects direction on saving in DICOM format from axial direction sagittal direction coronal direction or same direction on reading Settings e Selects processing method for overlapped region from maximum value or average value e Specifies size of shortest side of saved image 43 62 Proprietary Information For Distribution within FUJIFILM Corporation and its Author
86. stic interpretation of Mammography images Addition to Synapse 3D Base Tools Synapse 3D Liver and Kidney Analysis uses contrast enhanced images of the body and provides custom workflows and UI and reporting functions for liver and kidney analysis including liver and peripheral organ segmentation and tumor segmentation Also segmentation of intrahepatic and peripheral vessels as well as the approximation of vascular territories is provided using contrast enhanced computed tomographic images Indications for Use for Synapse 3D Nodule Analysis Synapse 3D Nodule Analysis is medical imaging software used with Synapse 3D Base Tools that is intended to provide trained medical professionals with tools to aid them in reading interpreting reporting and treatment planning Synapse 3D Nodule Analysis accepts DICOM compliant medical images acquired from CT and PT This product is not intended for use with or for the primary diagnostic interpretation of Mammography images Addition to Synapse 3D Base Tools Synapse 3D Nodule Analysis is intended to e use non contrast and contrast enhanced computed tomography CT images provide custom workflows and UI and reporting functions for nodule analysis including boundary detection of nodules based on the location specified by the user measurement of nodules temporal comparison of nodule images and fusion of a CT nodule image on a PT nodule image e use positron emission tomography PT images provide custom w
87. strictly prohibited FUJIFILM Corporation Synapse 3D US Product Specifications Z30N1138B Scope of this Document This document serves as the product specification for Synapse 3D Base Tools and other packages for the version specified on the front page This specification includes features of Synapse 3D Base Tools requirements for the off the shelf hardware and software platforms used with Synapse 3D important feature limitations and safety notifications for implementing and using Synapse 3D Indications for Use for Synapse 3D Base Tools Synapse 3D Base Tools is medical imaging software that is intended to provide trained medical professionals with tools to aid them in reading interpreting reporting and treatment planning Synapse 3D Base Tools accepts DICOM compliant medical images acquired from a variety of imaging devices including CT MR CR US NM PT and XA etc This product is not intended for use with or for the primary diagnostic interpretation of Mammography images Synapse 3D Base Tools provides several levels of tools to the user e Basic imaging tools for general images including 2D viewing volume rendering and 3D volume viewing orthogonal oblique curved Multi Planar Reconstructions MPR Maximum MIP Average RaySum and Minimum MinIP Intensity Projection 4D volume viewing image fusion image subtraction surface rendering sector and rectangular shape MPR image viewing MPR for dental images creating and d
88. t coronary artery Functional Cardiac Analysis CT Cardiac function analysis with cardiac CT cine images e Automatic extraction of heart region and manual modification e Automatic long axis positioning 4D cine play e Creates 4D movie e Chamber views 2 cavities 3 cavities 4 cavities aortic valve e Specifies cardiac base and apex for all phases or individual phase then specifies the center position for each slice in the short axis views e Auto detect contour of left ventricle myocardium and right ventricle 48 62 Proprietary Information For Distribution within FUJIFILM Corporation and its Authorized Affiliates Distributors Partners and Customers Only Duplication or Distribution of this document without agreement from FUJIFILM Corporation is strictly prohibited FUJIFILM Corporation Synapse 3D US Product Specifications Z30N1138B e Manually set contour of left ventricle in a short axis image e Manually set contour of myocardium and right ventricle in a long axis image or short axis image e Intermediate phase contours are interpolated based on setting of contours of ventricle and myocardium on one or more slices in the short axis view e Results display End diastolic volume EDV end systolic volume ESV end diastolic volume index EDVI end systolic volume infarction ESVI stroke volume SV cardiac output CO cardiac infraction Cl peak filling
89. tabase DICOM communication as a service e DICOM communications can run as a service and can work without users logging in Online help e Displays a help file corresponding to the current operations Server Client Setting up login method e In the case of multiple servers the login server can be selected automatically according to the server s operating status Restricting functions available to the client Ability to restrict functions Major functions that can be restricted are setting of available printers adjusting screen resolution storage of images reports snapshots image import delete transfer export Monitoring client connections status Server s login status can be checked through a Web monitor e Ability to send a message to a connected client and to force a connection to close Access from tablet devices e Snapshots can be observed using a tablet specific Ul e When communication is disconnected it can be re connected and the operating state restored DICOM server Data management with SQL Server e PostgreSQL Server 2005 manages database e Database backup and restoration can be performed using SQL Server Management Studio Setting of local AE e AE title and port can be configured Maximum number of concurrent connections e The number can be configured Maximum P DATA TF length e Can be specified for receive and send operations separately
90. ter recorded positions of a lesion between two images as a pair 8 8 Detailed functional specifications for Synapse 3D Tensor Analysis option The following are the detailed functional specifications for Synapse 3D Tensor Analysis option Craniotomy Simulator Tensor Analysis CT MR From MR images of the head perform tensor analysis and visualize the white matter tractography From MR images of the head perform craniotomy simulation e Load diffusion weighted images e Calculate FA value and diffusion color map by tensor analysis e ROI measurement using an oval rectangle free form shape or sphere Insert image planes e Place oval rectangle free form shape or sphere execute tractography and then display results of tensor analysis as white matter tractography in 3D view If multiple images were entered align them Organ extraction from CT images Extract body surface bone brain tumor artery vein or arbitrary region e Can extract multiple tumor regions and calculate the volume of each Craniotomy simulation e Multi 3D display of extracted region e Specify region and then make incision in surface and bone e Can record division method 61 62 Proprietary Information For Distribution within FUJIFILM Corporation and its Authorized Affiliates Distributors Partners and Customers Only Duplication or Distribution of this document wit
91. the heart surface together with the Coronary Artery analysis results Calcium Scoring Using non contrast CT images this plugin creates a color classified view of plaque area in the coronary arteries and calculates the Agatston score e Automatic extraction of heart e Calculates the number of plaques for each vessel LM LAD LCX RCA volume area Agatston score integration score per voxel mean CT value and maximum CT value e Specifies plaque region Supports creation of new vessel regions for scoring e Saves the scoring result to a csv file or a txt file or captures the result Outputs scoring results observations and images to a report Cardiac Fusion Display a bull s eye and a mapping of the nuclear medicine image to the 3D heart surface which are obtained by the cardiac function analysis system application e Overlays bull s eye images onto the base image making out of range pixels transparent e Can perform Stress Rest calculation and results mapping using nuclear medical images e Displays coronary artery regions together with nuclear medical images e Maps images of cardiac function or nuclear medicine onto the left ventricle image e Selectable view of cardiac 3D images the entire heart the origins of arteries or the left ventricle e Displays an overlay of the images of cardiac function or nuclear medicine onto the CPR image e Displays axial sagittal coronal long axis short axis
92. uction that a user must follow to use the product safely AWarning Warning Indicates an operation that requires caution to use the product safely A Caution Caution Indicates operational information additional Note Note information detail information specifications or other information that may be helpful 1 Precautions Before Operating This Workstation AWarning Before using this workstation please read For Safe Operation carefully so that you can operate it correctly Whenever you operate this workstation be sure to observe all precautions Failure to do so may subject you to injuries or cause property damage AWarning The medical institution where the equipment is installed is responsible for its use and maintenance This workstation should not be used by persons other than suitably trained physicians or staffs A Caution Rx only in the United States Federal law restricts this device to sale by or on the order of a physician 2 Precautions When Using Electrical Equipment A Caution Synapse 3D workstation must operate on the specified computers and monitors that satisfy the Safety Standards and Regulations Electromagnetic Interference Standards and Regulations as well as Environmental Regulations valid in each country or region where Synapse 3D is used When discarding the hardware the user must comply with environmental regulations valid in each country or region The environmental regulations inclu
93. visible 3D areas as rotation center e Ability to paste 2D cross section image on the plane of the border region of clipping e Mask extraction of clipped areas Mask editing e Overlay mask region on 2D cross section view e Undo Redo up to 8 times Extraction removal of body parts bone removal bone extraction bed removal heart extraction colon extraction lung field extraction bronchus extraction liver extraction region search vessel tracking all except blood vessel tracking are available for CT images only spinal extraction body surface extraction tube extraction presets registers extraction mode target mask and color template to apply as one job e Smart cut mask extraction removal by surrounding a region using polygon curve or freehand e Smart select extraction removal by selecting an object Smart tracking extraction removal by region growing e Dilation Erosion e Extracts a region within a specified threshold range as a mask Applied to the whole image or an ROI e Extract a region with a specified opacity range as a mask Applied to the whole image or an ROI Deletes continuous regions that have smaller volume than a specified mask value Applied to the whole image or an ROI e Surface digger removes surface mask which is specified by ROI or point along view direction e Adds Deletes mask region from 2D cross section by using circle cursor Adds Deletes a

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